MEPS HC Codebook 2015

MEPS HC-181 PAGE: 1
2015 FULL YEAR CONSOLIDATED DATA CODEBOOK
DATE: July 24, 2017
ALPHABETICAL AND POSITIONAL LISTING OF VARIABLES
-----ALPHABETICAL LISTING OF VARIABLES-----
START END NAME DESCRIPTION
902 903 ACCELI42 PERS ELIGIBLE FOR ACCESS SUPPLEMENT-R4/2

241 242 ACTDTY31 MILITARY FULL-TIME ACTIVE DUTY - R3/1
467 468 ACTLIM31 ANY LIMITATION WORK/HOUSEWRK/SCHL-RD 3/1
718 719 ADAPPT42 SAQ 12 MOS: # VISITS TO MED OFF FOR CARE
770 771 ADCAPE42 SAQ 4WKS: FELT CALM/PEACEFUL SF-12V2
758 759 ADCLIM42 SAQ: HLTH LIMITS CLIMBING STAIRS SF-12V2
818 819 ADCMPM42 SAQ: DATE COMPLETED - MONTH
820 823 ADCMPY42 SAQ: DATE COMPLETED - YEAR
756 757 ADDAYA42 SAQ: HLTH LIMITS MOD ACTIVITIES SF-12V2
774 775 ADDOWN42 SAQ 4WKS: FELT DOWNHEARTED/DEPR SF-12V2
806 807 ADDPRS42 SAQ 2 WKS: FELT DOWN/DEPRESSED/HOPELESS
748 749 ADDRBP42 SAQ 2 YRS: DR CHECKED BLOOD PRESSURE
798 799 ADEFRT42 SAQ 30 DAYS: HOW OFTN EVRYTHNG AN EFFORT
722 723 ADEGMC42 SAQ 12MOS: EASY GETTING NEEDED MED CARE
752 753 ADESSP42 SAQ 12MOS: HOW ESY TO SEE SPECIALIST
726 727 ADEXPL42 SAQ 12 MOS: DOC EXPLAINED SO UNDERSTOOD
734 735 ADEZUN42 SAQ 12 MOS: DR GIVEN INSTR. EZ UNDRSTD
738 739 ADFFRM42 SAQ 12 MOS: HAD TO FILL OUT/SIGN FORMS
740 741 ADFHLP42 SAQ 12 MOS: OFFRD HELP FILLING OUT FORMS
754 755 ADGENH42 SAQ: HEALTH IN GENERAL SF-12V2
409 410 ADHDADDX ADHDADD DIAGNOSIS (5-17)
411 412 ADHDAGED AGE OF DIAGNOSIS-ADHD/ADD
742 743 ADHECR42 SAQ 12 MOS: RATING OF HEALTH CARE
792 793 ADHOPE42 SAQ 30 DAYS: HOW OFTEN FELT HOPELESS
710 711 ADILCR42 SAQ 12MOS: ILL/INJURY NEEDING IMMED CARE
712 713 ADILWW42 SAQ 12 MOS: GOT CARE WHEN NEEDED ILL/INJ
810 811 ADINSA42 SAQ: DO NOT NEED HEALTH INSURANCE
812 813 ADINSB42 SAQ: HEALTH INSURANCE NOT WORTH COST
732 733 ADINST42 SAQ 12 MOS: DR GAVE SPCIFC INSTRCTNS
804 805 ADINTR42 SAQ 2 WKS: LITTLE INTEREST IN THINGS
824 825 ADLANG42 SAQ: LANGUAGE OF SAQ INTERVIEW
423 424 ADLHLP31 ADL SCREENER - RD 3/1
724 725 ADLIST42 SAQ 12 MOS: DOCTOR LISTENED TO YOU
764 765 ADMALS42 SAQ 4WKS:ACCMP LESS B/C MNT PRBS SF-12V2
766 767 ADMWLM42 SAQ 4WKS:WORK LIMT B/C MNT PROBS SF-12V2
720 721 ADNDCR42 SAQ 12MOS: NEED ANY CARE, TEST, TREATMNT
790 791 ADNERV42 SAQ 30 DAYS: HOW OFTEN FELT NERVOUS
772 773 ADNRGY42 SAQ 4WKS: HAD A LOT OF ENERGY SF-12V2
746 747 ADNSMK42 SAQ 12MOS: DR ADVISED TO QUIT SMOKING
816 817 ADOVER42 SAQ: CAN OVERCOME ILLS WITHOUT MED HELP
MEPS HC-181 PAGE: 2
DATE: July 24, 2017
768 769 ADPAIN42 SAQ 4WKS:PAIN LIMITS NORMAL WORK SF-12V2

760 761 ADPALS42 SAQ 4WKS:ACCMP LESS B/C PHY PRBS SF-12V2
730 731 ADPRTM42 SAQ 12 MOS: DR SPENT ENUF TIME WITH YOU
707 709 ADPRXY42 SAQ: RELATIONSHIP OF PROXY TO ADULT
762 763 ADPWLM42 SAQ 4WKS:WORK LIMT B/C PHY PROBS SF-12V2
728 729 ADRESP42 SAQ 12 MOS: DR SHOWED RESPECT
794 795 ADREST42 SAQ 30 DAYS: HOW OFTEN FELT RESTLESS
814 815 ADRISK42 SAQ: MORE LIKELY TO TAKE RISKS
714 715 ADRTCR42 SAQ 12 MOS: MADE APPT ROUTINE MED CARE
716 717 ADRTWW42 SAQ 12 MOS: GOT MED APPT WHEN WANTED
796 797 ADSAD42 SAQ 30 DAYS: HOW OFTEN FELT SAD
744 745 ADSMOK42 SAQ: CURRENTLY SMOKE
776 777 ADSOCA42 SAQ 4WKS: HLTH STOPPED SOC ACTIV SF-12V2
750 751 ADSPEC42 SAQ 12 MOS: NEEDED TO SEE SPECIALIST
736 737 ADTLHW42 SAQ 12 MOS: DR ASKED R DESC HOW FOLLOW
557 558 ADUPRO42 PRBLM GETTING ALONG W/ADULTS (5-17)-R4/2
800 801 ADWRTH42 SAQ 30 DAYS: HOW OFTEN FELT WORTHLESS
1381 1382 AFDC15 DID PERSON'S CHECK INCLUDE TANF
992 993 AFTHOU42 AC25 HOW DIFF CONTACT USC AFT HOURS-R4/2
177 178 AGE15X AGE AS OF 12/31/15(EDITED/IMPUTED)
171 172 AGE31X AGE - R3/1 (EDITED/IMPUTED)
179 180 AGELAST PERSON'S AGE LAST TIME ELIGIBLE
427 428 AIDHLP31 USED ASSISTIVE DEVICES - RD 3/1
1528 1528 ALIIMP15 ALIMONY INCOME IMPUTATION FLAG
1523 1527 ALIMP15X PERSON'S ALIMONY INCOME
3993 3997 AMAEXP15 TOTL AMBULTRY (OB+OP) PHYS ASS T EXP 15
4006 4009 AMAMCD15 PHYS ASS T AMB VSTS-MEDICAID AMT 15
4002 4005 AMAMCR15 PHYS ASS T AMB VSTS-MEDICARE AMT 15
4023 4025 AMAOFD15 PHYS ASS T AMB VSTS - OTHER FED AMT 15
4033 4036 AMAOPR15 PHYS ASS T AMB VSTS - OTH PRIVATE AMT 15
4037 4039 AMAOPU15 PHYS ASS T AMB VSTS - OTH PUBLIC AMT 15
4040 4042 AMAOSR15 P A AMB VSTS - OTH UNCLASS SRCE AMT 15
4048 4051 AMAOTH15 PHYS ASS T AMB VSTS-OTH COMBINED AMT 15
4010 4014 AMAPRV15 PHYS ASS T AMB VSTS-PRIVATE INS AMT 15
4043 4047 AMAPTR15 PHYS ASS T AMB VSTS - PRV & TRI AMT 15
3998 4001 AMASLF15 PHYS ASS T AMB VSTS-SELF/FAMILY AMT 15
3985 3986 AMASST15 # PHYSICIAN ASS T VSTS (OFF+OUPAT), 2015
4026 4028 AMASTL15 PHYS ASS T AMB VSTS-OTH ST/LOCL AMT 15
3987 3992 AMATCH15 PHYS ASS T AMBULATORY VISIT CHARGES 15
4019 4022 AMATRI15 PHYS ASS T AMB VSTS-TRICARE AMT 15
4015 4018 AMAVA15 PHYS ASS T AMB VSTS-VA/CHAMPVA AMT 15
MEPS HC-181 PAGE: 3
DATE: July 24, 2017
4029 4032 AMAWCP15 PHYS ASS T AMB VSTS-WRKERS COMP AMT 15

3790 3794 AMCEXP15 TOTL AMBULTRY (OB+OP) CHIRO EXP 15
3782 3784 AMCHIR15 # CHIROPRACTR VSTS (OFF+OUTPAT), 2015
3803 3806 AMCMCD15 CHIRO AMB VISITS - MEDICAID AMT 15
3799 3802 AMCMCR15 CHIRO AMB VISITS - MEDICARE AMT 15
3819 3821 AMCOFD15 CHIRO AMB VISITS - OTHER FEDERAL AMT 15
3829 3832 AMCOPR15 CHIRO AMB VISITS - OTH PRIVATE AMT 15
3833 3835 AMCOPU15 CHIRO AMB VISITS - OTH PUBLIC AMT 15
3836 3840 AMCOSR15 CHIR AMB VSTS - OTH UNCLASS SRCE AMT 15
3846 3850 AMCOTH15 CHIRO AMB VISITS - OTH COMBINED AMT 15
3807 3811 AMCPRV15 CHIRO AMB VISITS - PRIVATE INS AMT 15
3841 3845 AMCPTR15 CHIRO AMB VISITS -PRV & TRI AMT 15
3795 3798 AMCSLF15 CHIRO AMB VISITS - SELF/FAMILY AMT 15
3822 3824 AMCSTL15 CHIRO AMB VISITS - OTH ST/LOCAL AMT 15
3785 3789 AMCTCH15 CHIRO AMBULATORY VISIT CHARGES 15
3816 3818 AMCTRI15 CHIRO AMB VISITS-TRICARE AMT 15
3812 3815 AMCVA15 CHIRO AMB VISITS - VA/CHAMPVA AMT 15
3825 3828 AMCWCP15 CHIRO AMB VISITS-WORKERS COMP AMT 15
4133 4133 AMDRC15 # CALLS W/OFF & OUTPAT PHYSICIANS, 2015
3937 3940 AMEEXP15 TOTL AMBULTRY (OB+OP) OPTOMETRIST EXP 15
3948 3951 AMEMCD15 OPTMTRIST AMB VSTS - MEDICAID AMT 15
3945 3947 AMEMCR15 OPTMTRIST AMB VSTS - MEDICARE AMT 15
3963 3965 AMEOFD15 OPTMTRIST AMB VSTS-OTHER FED AMT 15
3969 3971 AMEOPR15 OPTMTRIST AMB VSTS - OTH PRIVATE AMT 15
3972 3974 AMEOPU15 OPTMTRIST AMB VSTS - OTH PUBLIC AMT 15
3975 3977 AMEOSR15 OPTOM AMB VSTS - OTH UNCLAS SRCE AMT 15
3982 3984 AMEOTH15 OPTMTRIST AMB VSTS - OTH COMBINED AMT 15
3952 3955 AMEPRV15 OPTMTRIST AMB VSTS - PRIVATE INS AMT 15
3978 3981 AMEPTR15 OPTMTRIST AMB VSTS - PRV & TRI AMT 15
3941 3944 AMESLF15 OPTMTRIST AMB VSTS - SELF/FAMILY AMT 15
3966 3967 AMESTL15 OPTMTRIST AMB VSTS-OTH ST/LOCAL AMT 15
3932 3936 AMETCH15 OPTOMETRIST AMBULATORY VISIT CHARGES 15
3960 3962 AMETRI15 OPTMTRIST AMB VSTS-TRICARE AMT 15
3956 3959 AMEVA15 OPTMTRIST AMB VSTS-VA/CHAMPVA AMT 15
3968 3968 AMEWCP15 OPTMTRIST AMB VSTS-WORKERS COMP AMT 15
3860 3864 AMNEXP15 TOTL AMBULTRY (OB+OP) NURSE/PRAC EXP 15
3874 3878 AMNMCD15 NRS/PRAC AMB VSTS - MEDICAID AMT 15
3869 3873 AMNMCR15 NRS/PRAC AMB VSTS - MEDICARE AMT 15
3893 3897 AMNOFD15 NRS/PRAC AMB VSTS-OTHER FEDERAL AMT 15
3907 3911 AMNOPR15 NRS/PRAC AMB VSTS - OTH PRIVATE AMT 15
3912 3915 AMNOPU15 NRS/PRAC AMB VSTS - OTH PUBLIC AMT 15
3916 3919 AMNOSR15 NRS/PR AMB VSTS - OTH UNCLAS SRCE AMT 15
3925 3929 AMNOTH15 NRS/PRAC AMB VSTS - OTH COMBINED AMT 15
3879 3883 AMNPRV15 NRS/PRAC AMB VSTS - PRIV INS AMT 15
MEPS HC-181 PAGE: 4
DATE: July 24, 2017
3920 3924 AMNPTR15 NRS/PRAC AMB VSTS - PRV & TRI AMT 15
3865 3868 AMNSLF15 NRS/PRAC AMB VSTS - SELF/FAMILY AMT 15
3898 3902 AMNSTL15 NRS/PRAC AMB VSTS-OTH ST/LOCAL AMT 15
3854 3859 AMNTCH15 NRS/PRAC AMBULATORY VISIT CHARGES 15
3888 3892 AMNTRI15 NRS/PRAC AMB VSTS-TRICARE AMT 15
3851 3853 AMNURS15 # AMB NURSE/PRCTITIONR VSTS(OB+OP) 15
3884 3887 AMNVA15 NRS/PRAC AMB VSTS-VA/CHAMPVA AMT 15
3903 3906 AMNWCP15 NRS/PRAC AMB VSTS-WORKERS COMP AMT 15
3930 3931 AMOPTO15 # AMB OPTOMETRIST VSTS (OB+OP) 15
4061 4065 AMTEXP15 TOTL AMBULTRY (OB+OP) PT/OT EXP 15
4052 4054 AMTHER15 # AMB PT/OT THRPY VISITS (OB+OP) 15
4075 4079 AMTMCD15 PT/OT AMB VISITS-MEDICAID AMT 15
4070 4074 AMTMCR15 PT/OT AMB VISITS-MEDICARE AMT 15
4094 4098 AMTOFD15 PT/OT AMB VISITS - OTHER FED AMT 15
4107 4111 AMTOPR15 PT/OT AMB VISITS - OTH PRIVATE AMT 15
4112 4114 AMTOPU15 PT/OT AMB VISITS-OTH PUBLIC AMT 15
4115 4119 AMTOSR15 PT/OT AMB VSTS-OTH UNCLAS SRCE AMT 15
4130 4132 AMTOTC15 # CALLS W/OFFICE & OUPAT DEPTS, 2015
4125 4129 AMTOTH15 PT/OT AMB VISITS - OTH COMBINED AMT 15
4080 4084 AMTPRV15 PT/OT AMB VISITS-PRIVATE INS AMT 15
4120 4124 AMTPTR15 PT/OT AMB VISITS -PRV & TRI AMT 15
4066 4069 AMTSLF15 PT/OT AMB VISITS-SELF/FAMILY AMT 15
4099 4101 AMTSTL15 PT/OT AMB VISITS-OTH ST/LOCL AMT 15
4055 4060 AMTTCH15 PT/OC AMBULATORY VISIT CHARGES 15
4090 4093 AMTTRI15 PT/OT AMB VISITS-TRICARE AMT 15
4085 4089 AMTVA15 PT/OT AMB VISITS-VA/CHAMPVA AMT 15
4102 4106 AMTWCP15 PT/OT AMB VISITS-WORKERS COMP AMT 15
313 314 ANGIAGED AGE OF DIAGNOSIS-ANGINA
311 312 ANGIDX ANGINA DIAGNOSIS (>17)
515 516 ANYLMT15 ANY LIMITATION IN P19R3,4,5/P20R1,2,3
377 378 ARTHAGED AGE OF DIAGNOSIS-ARTHRITIS
373 374 ARTHDX ARTHRITIS DIAGNOSIS (>17)
375 376 ARTHTYPE TYPE OF ARTHRITIS DIAGNOSED (>17)
395 396 ASACUT53 USED ACUTE PRES INHALER LAST 3 MOS-RD5/3
387 388 ASATAK31 ASTHMA ATTACK LAST 12 MOS - RD3/1
389 390 ASATAK53 ASTHMA ATTACK LAST 12 MOS - RD 5/3
401 402 ASDALY53 NOW TAKE PREV DAILY ASTHMA MEDS - RD 5/3
405 406 ASEVFL53 EVER USED PEAK FLOW METER - RD 5/3
970 971 ASIANP42 AC19 IS PROVIDER ASIAN-R4/2
397 398 ASMRCN53 USED>3ACUTE CN PRES INH LAST 3 MOS-RD5/3
403 404 ASPKFL53 HAVE PEAK FLOW METER AT HOME - RD 5/3
399 400 ASPREV53 EVER USED PREV DAILY ASTHMA MEDS -RD 5/3
667 668 ASPRIN53 TKE ASPIRN EVERY (OTHR) DAY (>17)-RD 5/3
383 384 ASSTIL31 DOES PERSON STILL HAVE ASTHMA-RD3/1
MEPS HC-181 PAGE: 5
DATE: July 24, 2017
385 386 ASSTIL53 DOES PERSON STILL HAVE ASTHMA - RD 5/3

381 382 ASTHAGED AGE OF DIAGNOSIS-ASTHMA
379 380 ASTHDX ASTHMA DIAGNOSIS
391 392 ASTHEP31 WHEN WAS LAST EPISODE OF ASTHMA - RD 3/1
407 408 ASWNFL53 WHEN LAST USED PEAK FLOW METER - RD 5/3
106 107 BEGRFM31 R3/1 REFERENCE PERIOD BEGIN DATE: MONTH
108 111 BEGRFY31 R3/1 REFERENCE PERIOD BEGIN DATE: YEAR
455 456 BENDIF31 DIFFICULTY BENDING/STOOPING - RD 3/1
968 969 BLCKPR42 AC19 IS PROVIDER BLACK/AFRICAN AMER-R4/2
501 502 BLIND42 PERSON IS BLIND - RD 4/2
699 703 BMINDX53 ADULT BODY MASS INDEX (>17) - RD 5/3
635 636 BOOST42 DR ADVISE BOOSTER SEAT (40<WT<=80)-R4/2
267 268 BORNUSA PERSON BORN IN THE US
655 656 BPCHEK53 TIME SNCE LST BLOOD PRES CHK (>17)-RD5/3
305 306 BPMLDX MULT DIAG HIGH BLOOD PRESS (>17)
681 682 BRSTEX53 HOW LNG SNCE LST BREAST EXAM (>17)-RD5/3
1219 1220 BSNTY31 SOLE PROP, PARTNER, CORP, RD 3/1 CMJ
1315 1316 BSNTY31H SOL PROP, PRTNR, CORP, RD 3/1 CMJ (IMP)
687 688 BSTSRE53 RSN HAVE BLD STOOL TST (>39)-R5/3
685 686 BSTST53 MST RCNT BLD STOOL TST HME KIT(>39)-R5/3
1457 1457 BUSIMP15 BUSINESS INCOME IMPUTATION FLAG
1451 1456 BUSNP15X PERSON'S BUSINESS INCOME
341 342 CABLADDR CANCER DIAGNOSED - BLADDER (>17)
343 344 CABREAST CANCER DIAGNOSED - BREAST (>17)
345 346 CACERVIX CANCER DIAGNOSED - CERVIX (>17)
347 348 CACOLON CANCER DIAGNOSED - COLON (>17)
349 350 CALUNG CANCER DIAGNOSED - LUNG (>17)
351 352 CALYMPH CANCER DIAGNOSED - LYMPHOMA (>17)
353 354 CAMELANO CANCER DIAGNOSED - MELANOMA (>17)
339 340 CANCERDX CANCER DIAGNOSIS (>17)
355 356 CAOTHER CANCER DIAGNOSED - OTHER (>17)
357 358 CAPROSTA CANCER DIAGNOSED - PROSTATE (>17)
926 927 CARECO42 AC08 OTH REAS NO USC:COST OF MED CR-R4/2
1535 1540 CASHP15X PERSON'S OTHER REGULAR CASH CONTRIBUTION
MEPS HC-181 PAGE: 6
DATE: July 24, 2017
361 362 CASKINDK CANCER DIAGNOSED-SKIN-UNKNOWN TYPE (>17)

359 360 CASKINNM CANCER DIAGNOSED - SKIN-NONMELANO (>17)
363 364 CAUTERUS CANCER DIAGNOSED - UTERUS (>17)
581 582 CHAPPT42 CAHPS:12MOS:# OF OFF/CLIN APTS(0-17)R4/2
609 612 CHBMIX42 CHILD'S BODY MASS INDEX (6-17)-R4/2
331 332 CHBRON31 CHRONC BRONCHITS LAST 12 MTHS (>17)-R3/1
541 542 CHCOUN42 CSHCN:CHILD NEEDS COUNSELING (0-17)-R4/2
309 310 CHDAGED AGE OF DIAGNOSIS-CORONARY HEART DISEASE
307 308 CHDDX CORONARY HRT DISEASE DIAG (>17)
659 660 CHECK53 HOW LNG LST ROUTNE CHECKUP (>17)-RD 5/3
543 544 CHEMPB42 CSHCN:COUNS PROB LAST 12+MOS (0-17)-R4/2
585 586 CHENEC42 CAHPS:12MOS:EASY GET NEC CARE (0-17)R4/2
589 590 CHEXPL42 CAHPS:12MOS:CHLD DR EXPL THNG(0-17)R4/2
599 600 CHEYRE42 CAHPS:12MOS:ESY W/RFR TO SPEC(0-17)-R4/2
1161 1162 CHGJ3142 CHANGED JOB BETWEEN RD 3/1 AND RD 4/2
595 596 CHHECR42 CAHPS:12MOS:RATE CHLD HLT CARE(0-17)R4/2
573 574 CHILCR42 CAHPS:12MOS:ILL/INJ NEED CARE(0-17)-R4/2
575 576 CHILWW42 CAHPS:12MOS:ILL CARE WHN WNTD(0-17)-R4/2
1529 1533 CHLDP15X PERSON'S CHILD SUPPORT
533 534 CHLICO42 CSHCN:LIMIT COND LAST 12+MOS (0-17)-R4/2
531 532 CHLIHB42 CSHCN:LIMT FOR HLTH/BEHV COND(0-17)-R4/2
529 530 CHLIMI42 CSHCN:LIMITED IN ANY WAY (0-17)-R4/2
1534 1534 CHLIMP15 CHILD SUPPORT IMPUTATION FLAG
587 588 CHLIST42 CAHPS:12MOS:CHLD DR LSN TO YOU(0-17)R4/2
583 584 CHNDCR42 CAHPS:12MOS:NEED ANY CARE/TRT(0-17)-R4/2
1122 1123 CHOIC31 CHOICE OF HEALTH PLANS AT RD 3/1 CMJ
337 338 CHOLAGED AGE OF DIAGNOSIS-HIGH CHOLESTEROL
657 658 CHOLCK53 HOW LNG CHOLEST LST CHCK (>17) - RD 5/3
335 336 CHOLDX HIGH CHOLESTEROL DIAGNOSIS (>17)
521 522 CHPMCN42 CSHCN:PMED COND LAST 12+ MOS (0-17)-R4/2
517 518 CHPMED42 CSHCN:CHILD NEEDS PRESCRB MED(0-17)-R4/2
519 520 CHPMHB42 CSHCN:PMED FOR HLTH/BEHV COND(0-17)-R4/2
593 594 CHPRTM42 CAHPS:12MOS:CHILD DR ENGH TIME(0-17)R4/2
591 592 CHRESP42 CAHPS:12MOS:CHLD'S DR SHW RESP(0-17)R4/2
577 578 CHRTCR42 CAHPS:12MOS:MAKE ROUT CARE APT(0-17)R4/2
579 580 CHRTWW42 CAHPS:12MOS:ROUT APT WHN WNTD(0-17)-R4/2
523 524 CHSERV42 CSHCN:CHLD NEEDS MED&OTH SERV(0-17)-R4/2
597 598 CHSPEC42 CAHPS:12MOS:CHLD NEEDED SPEC(0-17)R4/2
527 528 CHSRCN42 CSHCN:SERV COND LAST 12+ MOS (0-17)-R4/2
525 526 CHSRHB42 CSHCN:SERV FOR HLTH/BEHV COND(0-17)-R4/2
MEPS HC-181 PAGE: 7
DATE: July 24, 2017
539 540 CHTHCO42 CSHCN:THER COND LAST 12+ MOS (0-17)-R4/2

535 536 CHTHER42 CSHCN:CHLD NEEDS SPEC THERAPY(0-17)-R4/2
537 538 CHTHHB42 CSHCN:SPEC THER FOR HLTH+COND(0-17)-R4/2
950 951 CLINIC42 AC08 OTH REAS NO USC: HOSP/ER/CLNIC-R4/2
1396 1397 CLMDEP15 DID/WILL PERS CLAIM DEPENDENTS ON RETURN
1406 1407 CLMHIP15 DID/WILL PERS DEDUCT HEALTH INSUR. PREM.
691 692 CLNTRE53 RSN HAVE COLONOSCOPY (>39)-R5/3
689 690 CLNTST53 MOST RECENT COLONOSCOPY (>39) - R5/3
1339 1340 CMJHLD31 HLTH INSUR HELD FROM RD 3/1 CMJ (PRPL)
491 492 COGLIM31 COGNITIVE LIMITATIONS - RD 3/1
2268 2269 COVRMM MONTH MOST RECENTLY COVERED-PNL 20 ONLY
2270 2273 COVRYY YEAR MOST RECENTLY COVERED-PANEL 20 ONLY
29 30 CPSFAMID CPSFAMID
2262 2263 CRFMPY42 FAMILY MED BILLS BEING PAID OVER TIME
545 546 CSHCN42 CSHCN:CHILD W/SPEC HC NEEDS (0-17)-R4/2
1541 1541 CSHIMP15 CASH CONTRIBUTION IMPUTATION FLAG
549 550 DADPRO42 PROBLEM GETTING ALONG W/DAD (5-17)-R4/2
280 282 DAPID31X PID OF PERSON'S DAD - RD 3/1
896 897 DDNSCL15 # DAYS MISSD SCHOOL DUE TO ILL/INJ 2015
894 895 DDNWRK15 # DAYS MISSED WORK DUE TO ILL/INJ 2015
497 498 DEAF42 PERSON IS DEAF - RD 4/2
998 999 DECIDE42 AC28 PROV ASKS PERS TO HELP DECIDE-R4/2
619 620 DENTAL42 DR ADVISE REG DENTAL CHECKUP (2-17)-R4/2
653 654 DENTCK53 HOW OFTEN DENTAL CHECK-UP - RD 5/3
2524 2525 DENTIN31 DENTAL INSURANCE - ANY TIME IN RD 3/1
1398 1399 DEPDNT15 PERSON IS FLAGGED A DEPENDENT
503 504 DFCOG42 SERIOUS COGNITIVE DIFFICULTIES-RD 4/2
507 508 DFDRSB42 DIFFICULTY DRESSING/BATHING-RD 4/2
509 510 DFERND42 DIFFICULTY DOING ERRANDS ALONE-RD 4/2
495 496 DFHEAR42 SERIOUS DIFFICULTY HEARING-RD 4/2
499 500 DFSEE42 SERIOUS DIFFICULTY SEE W/GLASSES-RD 4/2
505 506 DFWLKC42 SERIOUS DIFCULTY WLK/CLIMB STAIRS-RD 4/2
367 368 DIABAGED AGE OF DIAGNOSIS-DIABETES
365 366 DIABDX DIABETES DIAGNOSIS (>17)
5333 5344 DIABW15F FINAL DIABETES CARE SUPPLEMENT WEIGHT
920 921 DIFFPL42 AC08 OTH REAS NO USC:DIFFRNT PLACES-R4/2
1065 1066 DIFFWG31 PERSONS WAGES DIFFERENT THIS RD31 AT CMJ
MEPS HC-181 PAGE: 8
DATE: July 24, 2017

1116 1117 DISVW31X DISAVOWED HEALTH INS AT RD 3/1 CMJ (ED)
1475 1479 DIVDP15X PERSON'S DIVIDEND INCOME
1480 1480 DIVIMP15 DIVIDEND INCOME IMPUTATION FLAG
914 915 DKWHRU42 AC08 OTH REAS NO USC:DK WHERE TO GO-R4/2
1016 1017 DNDLAY42 DELAYED IN GETTING NEC DENTAL CARE-R4/2
1018 1019 DNDLRS42 AC46 RSN DLAYD GETTNG NEC DENT CARE-R4/2
2532 2533 DNTINS15 DENTL INS-ANY TIME IN R5/R3 TIL 12/31/15
2530 2531 DNTINS31 DENTAL INS - ANY TIME IN RD 3/1 IN 2015
1012 1013 DNUNAB42 UNABLE TO GET NECESSARY DENTAL CARE-R4/2
1014 1015 DNUNRS42 AC42 RSN UNABLE GET NCSRY DENT CARE-R4/2
181 182 DOBMM DATE OF BIRTH: MONTH
183 186 DOBYY DATE OF BIRTH: YEAR
936 937 DOCELS42 AC08 OTH REAS NO USC: DR ELSEWHERE-R4/2
1400 1401 DPINRU15 DEPENDENTS IN/OUT OF RU
1402 1403 DPOTSD15 HOW MANY DEPENDENTS LIVE OUTSIDE RU
828 829 DSA1C53 DCS: TIMES TESTED FOR A-ONE-C IN 2015
856 857 DSCB1453 DCS: BLOOD CHOLESTEROL CHECKED BEF 2014
888 889 DSCGRP53 DCS: LEARNED CARE BY TAKING GROUP CLASS
854 855 DSCH1453 DCS: BLOOD CHOLESTEROL CHECKED IN 2014
858 859 DSCHNV53 DCS: NEVER HAD BLOOD CHOLESTEROL CHECKED
886 887 DSCINT53 DCS: LEARNED CARE FROM READING INTERNET
882 883 DSCNPC53 DCS: LEARNED CARE FROM OTHER PROVIDER
890 891 DSCONF53 DCS: CONFIDENT TAKING CARE OF DIABETES
880 881 DSCPCP53 DCS: LEARNED CARE FROM PRIMARY CARE PROV
884 885 DSCPHN53 DCS: LEARN CARE FROM PHONE CALL W/PROV
826 827 DSDIA53 DCS: DIABETES DIAGNOSIS BY HEALTH PROF
874 875 DSDIET53 DCS: TREAT DIABETES W/DIET MODIFICATION
846 847 DSEB1453 DCS: DILATED EYE EXAM BEFORE 2014
844 845 DSEY1453 DCS: DILATED EYE EXAM IN 2014
848 849 DSEYNV53 DCS: NEVER HAD DILATED EYE EXAM
872 873 DSEYPR53 DCS: HAS DIABETES CAUSED EYE PROBS
836 837 DSFB1453 DCS: HAD FEET CHECKED BEFORE 2014
864 865 DSFL1453 DCS: GOT FLU VACCINATION IN 2014
868 869 DSFLNV53 DCS: NEVER GOT FLU VACCINATION
MEPS HC-181 PAGE: 9
DATE: July 24, 2017
834 835 DSFT1453 DCS: HAD FEET CHECKED DURING 2014

838 839 DSFTNV53 DCS: NEVER HAD FEET CHECKED
878 879 DSINSU53 DCS: TREAT DIABETES W/INSULIN INJECTIONS
870 871 DSKIDN53 DCS: HAS DIABETES CAUSED KIDNEY PROBLEMS
876 877 DSMED53 DCS: TREAT DIABETES W/MEDS BY MOUTH
892 893 DSPRX53 DCS: WAS RESPONDENT A PROXY
866 867 DSVB1453 DCS: GOT FLU VACCINATION BEFORE 2014
1 5 DUID DWELLING UNIT ID
9 16 DUPERSID PERSON ID (DUID + PID)
4793 4794 DVGEN15 # GENERAL DENTIST VISITS 15
4800 4804 DVGEXP15 TOTAL GENERAL DENTIST EXP 15
4815 4819 DVGMCD15 GNRL DENTAL VISITS - MEDICAID AMT 15
4810 4814 DVGMCR15 GNRL DENTAL VISITS - MEDICARE AMT 15
4834 4837 DVGOFD15 GNRL DENTAL VISITS - OTHER FED AMT 15
4845 4848 DVGOPR15 GNRL DENTAL VISITS - OTH PRIVATE AMT 15
4849 4852 DVGOPU15 GNRL DENTAL VISITS - OTH PUBLIC AMT 15
4853 4856 DVGOSR15 GNRL DENT VSTS - OT UNCLASS SRCE AMT 15
4862 4865 DVGOTH15 GNRL DENTAL VISITS - OTH COMBINED AMT 15
4820 4824 DVGPRV15 GNRL DENTAL VISITS - PRIVATE INS AMT 15
4857 4861 DVGPTR15 GNRL DENTAL VISITS - PRV & TRI AMT 15
4805 4809 DVGSLF15 GNRL DENTAL VISITS - SELF/FAM AMT 15
4838 4841 DVGSTL15 GNRL DENTAL VISITS - OTH ST/LOCAL AMT 15
4795 4799 DVGTCH15 GENERAL DENTAL CARE VISIT CHARGES 15
4830 4833 DVGTRI15 GNRL DENTAL VISITS-TRICARE AMT 15
4825 4829 DVGVA15 GNRL DENTAL VISITS - VA/CHAMPVA AMT 15
4842 4844 DVGWCP15 GNRL DENTAL VISITS - WORKERS COMP AMT 15
4873 4877 DVOEXP15 TOTAL ORTHODONTIST EXP 15
4887 4890 DVOMCD15 ORTHODONTIST VISITS - MEDICAID AMT 15
4883 4886 DVOMCR15 ORTHODONTIST VISITS - MEDICARE AMT 15
4903 4907 DVOOFD15 ORTHODONTIST VISITS-OTHR FED AMT 15
4912 4915 DVOOPR15 ORTHODONTIST VISITS-OTHR PRIVATE AMT 15
4916 4917 DVOOPU15 ORTHODONTIST VISITS-OTHR PUBLIC AMT 15
4918 4921 DVOOSR15 ORTHODONT VSTS - OT UNCLASS SRCE AMT 15
4927 4931 DVOOTH15 ORTHODONTIST VISITS-OTH COMBINED AMT 15
4891 4895 DVOPRV15 ORTHODONTIST VISITS - PRIVATE INS AMT 15
4922 4926 DVOPTR15 ORTHODONTIST VISITS - PRV & TRI AMT 15
4866 4867 DVORTH15 # ORTHODONTIST VISITS 15
4878 4882 DVOSLF15 ORTHODONTIST VISITS - SELF/FAMILY AMT 15
4908 4910 DVOSTL15 ORTHODONTIST VISITS-OTHR ST/LOCAL AMT 15
4868 4872 DVOTCH15 ORTHODONTIST VISIT CHARGES 15
4899 4902 DVOTRI15 ORTHODONTIST VISITS-TRICARE AMT 15
4896 4898 DVOVA15 ORTHODONTIST VISITS-VA/CHAMPVA AMT 15
MEPS HC-181 PAGE: 10
DATE: July 24, 2017
4911 4911 DVOWCP15 ORTHODONTIST VISITS-WORKERS COMP AMT 15

4725 4729 DVTEXP15 TOTAL DENTAL CARE EXP 15
4740 4744 DVTMCD15 ALL DENTAL CARE - MEDICAID AMT 15
4735 4739 DVTMCR15 ALL DENTAL CARE - MEDICARE AMT 15
4759 4763 DVTOFD15 ALL DENTAL CARE - OTHER FEDRL AMT 15
4771 4774 DVTOPR15 ALL DENTAL CARE - OTH PRIVATE AMT 15
4775 4778 DVTOPU15 ALL DENTAL CARE - OTH PUBLIC AMT 15
4779 4782 DVTOSR15 ALL DENT CARE-OT UNCLASS SRCE AMT 15
4718 4719 DVTOT15 # DENTAL CARE VISITS 15
4788 4792 DVTOTH15 ALL DENTAL CARE - OTH COMBINED AMT 15
4745 4749 DVTPRV15 ALL DENTAL CARE - PRIVATE INS AMT 15
4783 4787 DVTPTR15 ALL DENTAL CARE - PRV & TRI AMT 15
4730 4734 DVTSLF15 ALL DENTAL CARE - SELF/FAMILY AMT 15
4764 4767 DVTSTL15 ALL DENTAL CARE - OTH ST/LOCAL AMT 15
4720 4724 DVTTCH15 TOTAL DENTAL CARE VISIT CHARGES 15
4755 4758 DVTTRI15 ALL DENTAL CARE - TRICARE AMT 15
4750 4754 DVTVA15 ALL DENTAL CARE - VA/CHAMPVA AMT 15
4768 4770 DVTWCP15 ALL DENTAL CARE - WORKERS COMP AMT 15
623 624 EATHLT42 DR ADVISE EAT HEALTHY (2-17)-R4/2
231 232 EDRECODE EDUCATION RECODE (EDITED)
227 228 EDUCYR YEARS OF EDUC WHEN FIRST ENTERED MEPS
225 226 EDUYRDG YEAR OF EDUCATION OR HIGHEST DEGREE
1408 1409 EICRDT15 DID/WILL PERS RECEIVE EARNED INC CREDIT
158 158 ELGRND15 ELIGIBILITY STATUS AS OF 12/31/15
155 155 ELGRND31 ELIGIBILITY - R3/1
329 330 EMPHAGED AGE OF DIAGNOSIS-EMPHYSEMA
327 328 EMPHDX EMPHYSEMA DIAGNOSIS (>17)
1249 1250 EMPST31 EMPLOYMENT STATUS RD 3/1
1255 1256 EMPST31H EMPLOYMENT STATUS RD 3/1 (IMP)
142 143 ENDRFM15 2015 REFERENCE PERIOD END DATE: MONTH
112 113 ENDRFM31 R3/1 REFERENCE PERIOD END DATE: MONTH
144 147 ENDRFY15 2015 REFERENCE PERIOD END DATE: YEAR
114 117 ENDRFY31 R3/1 REFERENCE PERIOD END DATE: YEAR
4296 4299 ERDEXP15 TOTAL EMERGENCY ROOM DR EXP 15
DATE: July 24, 2017
4313 4316 ERDMCD15 ER-MEDICAID AMT - DR 15

4309 4312 ERDMCR15 ER-MEDICARE AMT - DR 15
4328 4328 ERDOFD15 ER-OTHER FED AMT - DR 15
4335 4338 ERDOPR15 ER - OTHER PRIVATE AMT - DR 15
4339 4342 ERDOPU15 ER - OTHER PUBLIC AMT - DR 15
4343 4346 ERDOSR15 ER-OTH UNCLASS SRCE AMT - DR 15
4351 4354 ERDOTH15 ER-OTH COMBINED AMT - DR 15
4317 4320 ERDPRV15 ER-PRIVATE INS AMT - DR 15
4347 4350 ERDPTR15 ER-PRV & TRI AMT - DR 15
4305 4308 ERDSLF15 ER-SELF/FAMILY AMT - DR 15
4329 4330 ERDSTL15 ER-OTH ST/LOCAL AMT - DR 15
4300 4304 ERDTCH15 ER DOCTOR VISIT CHARGES 15
4325 4327 ERDTRI15 ER-TRICARE AMT - DR 15
4321 4324 ERDVA15 ER-VA/CHAMPVA AMT - DR 15
4331 4334 ERDWCP15 ER-WORKERS COMP AMT - DR 15
4222 4227 ERFEXP15 TOTAL ER FACILITY EXP 15
4238 4242 ERFMCD15 ER-MEDICAID AMT - FAC 15
4233 4237 ERFMCR15 ER-MEDICARE AMT - FAC 15
4258 4261 ERFOFD15 ER-OTHER FEDERAL AMT - FAC 15
4270 4274 ERFOPR15 ER-OTHER PRIVATE AMT - FAC 15
4275 4279 ERFOPU15 ER-OTHER PUBLIC AMT - FAC 15
4280 4284 ERFOSR15 ER-OTH UNCLASS SRCE AMT - FAC 15
4291 4295 ERFOTH15 ER-OTH COMBINED AMT - FAC 15
4243 4248 ERFPRV15 ER-PRIVATE INS AMT - FAC 15
4285 4290 ERFPTR15 ER-PRV & TRI AMT - FAC 15
4228 4232 ERFSLF15 ER-SELF/FAMILY AMT - FAC 15
4262 4265 ERFSTL15 ER-OTH ST/LOCAL AMT - FAC 15
4216 4221 ERFTCH15 ER FACILITY VISIT CHARGES 15
4254 4257 ERFTRI15 ER-TRICARE AMT - FAC 15
4249 4253 ERFVA15 ER-VA/CHAMPVA AMT - FAC 15
4266 4269 ERFWCP15 ER-WORKERS COMP AMT - FAC 15
4142 4147 ERTEXP15 TOTAL ER FACILITY + DR EXP 15
4158 4162 ERTMCD15 ER-MEDICAID AMT-(FAC+DR) 15
4153 4157 ERTMCR15 ER-MEDICARE AMT-(FAC+DR) 15
4178 4181 ERTOFD15 ER-OTHER FED AMT-(FAC+DR) 15
4190 4194 ERTOPR15 ER-OTH PRIVATE AMT-(FAC+DR) 15
4195 4199 ERTOPU15 ER-OTH PUBLIC AMT-(FAC+DR) 15
4200 4204 ERTOSR15 ER-OTH UNCLASS SRCE AMT-(FAC+DR) 15
4134 4135 ERTOT15 # EMERGENCY ROOM VISITS 15
4211 4215 ERTOTH15 ER -OTH COMBINED AMT (FAC+DR) 15
4163 4168 ERTPRV15 ER-PRIV INS AMT-(FAC+DR) 15
4205 4210 ERTPTR15 ER-PRV & TRI AMT (FAC+DR) 15
4148 4152 ERTSLF15 ER-SELF/FAMILY AMT-(FAC+DR) 15
4182 4185 ERTSTL15 ER-OTH ST/LOCAL AMT-(FAC+DR) 15
DATE: July 24, 2017
4136 4141 ERTTCH15 ER FACILITY + DR VISIT CHARGES 15

4174 4177 ERTTRI15 ER-TRICARE AMT-(FAC+DR) 15
4169 4173 ERTVA15 ER-VA/CHAMPVA AMT-(FAC+DR) 15
4186 4189 ERTWCP15 ER-WORKERS COMP AMT-(FAC+DR) 15
1187 1188 EVRETIRE PERSON HAS EVER RETIRED
1036 1037 EVRWRK EVER WRKD FOR PAY IN LIFE AS OF 12/31/15
1000 1001 EXPLOP42 AC30 PROV EXPLNS OPTIONS TO PERS-R4/2
663 664 EXRCIS53 ADVISED TO EXERCISE MORE (>17) - RD 5/3
25 26 FAMID15 FAMILY ID (STUDENT MERGED IN) - 12/31/15
19 20 FAMID31 FAMILY ID (STUDENT MERGED IN) - R3/1
27 28 FAMIDYR ANNUAL FAMILY IDENTIFIER
1425 1431 FAMINC15 FAMILY'S TOTAL INCOME
72 72 FAMRFPYR REFERENCE PERSON OF ANNUALIZED FAMILY
68 69 FAMS1231 FAMILY SIZE OF RESPONDING 12/31 FAMILY
64 65 FAMSZE15 RU SIZE INCLUDING STUDENT AS OF 12/31/15
58 59 FAMSZE31 RU SIZE INCLUDING STUDENTS - R3/1
70 71 FAMSZEYR SIZE OF RESPONDING ANNUALIZED FAMILY
5308 5319 FAMWT15C POV ADJ FAMILY WGT-CPS FAM ON 12/31/15
5296 5307 FAMWT15F FINAL FAMILY WEIGHT, 2015
33 34 FCRP1231 REF PERSON OF 12/31 CPS FAMILY
31 32 FCSZ1231 FAM SIZE RESPONDING 12/31 CPS FAMILY
1383 1384 FILEDR15 HAS PERSON FILED A FED INCOME TAX RETURN
1389 1390 FILER15 PRIMARY OR SECONDARY FILER
1387 1388 FLSTAT15 PERSON'S FILING STATUS
665 666 FLUSHT53 HOW LNG LAST FLU VACINATION (>17)-RD 5/3
66 67 FMRS1231 MEMBER OF RESPONDING 12/31 FAMILY
463 464 FNGRDF31 DIFFICULTY USING FINGERS TO GRASP-RD 3/1
1412 1413 FOODMN15 NUMBER OF MONTHS FOOD STAMPS PURCHASED
1410 1411 FOODST15 DID ANYONE PURCHASE FOOD STAMPS
1414 1417 FOODVL15 MONTHLY VALUE OF FOOD STAMPS
2252 2259 FSAAMT31 FSA TOTAL AMOUNT FOR RU - R3/1
2248 2249 FSAGT31 ANYONE IN RU HAVE FSA - R3/1
239 240 FTSTU15X STUDENT STATUS IF AGES 17-23 - 12/31/15
233 234 FTSTU31X STUDENT STATUS IF AGES 17-23 - R3/1
978 979 GENDRP42 AC20 IS PROVIDER MALE OR FEMALE-R4/2
2250 2251 HASFSA31 PERSON IS FSA HOLDER - R3/1
904 905 HAVEUS42 AC05 DOES PERSON HAVE USC PROVIDER-R4/2
DATE: July 24, 2017
555 556 HAVFUN42 PROBLEM HAVING FUN (5-17) - R4/2

940 941 HEALTH42 AC08 OTH REAS NO USC: HLTH RELATED-R4/2
511 512 HEARAD42 PERSON WEARS HEARING AID - RD 4/2
1231 1232 HELD31X HEALTH INSUR HELD FROM RD 3/1 CMJ (ED)
643 644 HELMET42 DR ADVISE BIKE HELMET (2-17)-R4/2
4944 4949 HHAEXP15 TOTAL HOME HEALTH AGENCY EXP 15
4935 4937 HHAGD15 # AGENCY HOME HEALTH PROVIDER DAYS 15
4960 4965 HHAMCD15 HOME HLTH AGENCY - MEDICAID AMT 15
4955 4959 HHAMCR15 HOME HLTH AGENCY - MEDICARE AMT 15
4980 4980 HHAOFD15 HOME HLTH AGENCY - OTHER FED AMT 15
4992 4996 HHAOPR15 HOME HLTH AGENCY - OTH PRIVATE AMT 15
4997 5001 HHAOPU15 HOME HLTH AGENCY - OTH PUBLIC AMT 15
5002 5007 HHAOSR15 H HLTH AGENCY - OT UNCLASS SRCE AMT 15
5013 5018 HHAOTH15 HOME HLTH AGENCY - OTH COMBINED AMT 15
4966 4970 HHAPRV15 HOME HLTH AGENCY - PRIVATE INS AMT 15
5008 5012 HHAPTR15 HOME HLTH AGENCY - PRV & TRI AMT 15
4950 4954 HHASLF15 HOME HLTH AGENCY - SELF/FAMILY AMT 15
4981 4985 HHASTL15 HOME HLTH AGENCY-OTHR ST/LOCAL AMT 15
4938 4943 HHATCH15 HOME HEALTH AGENCY VISIT CHARGES 15
4975 4979 HHATRI15 HOME HLTH AGENCY-TRICARE AMT 15
4971 4974 HHAVA15 HOME HLTH AGENCY-VA/CHAMPVA AMT 15
4986 4991 HHAWCP15 HOME HLTH AGENCY - WORKERS COMP AMT 15
5019 5021 HHINDD15 # NON-AGENCY HOME HEALTH PROVIDR DAYS 15
5073 5075 HHINFD15 # INFORMAL HOME HEALTH PROVIDER DAYS 15
5027 5031 HHNEXP15 TOTAL HOME HEALTH NON-AGNCY EXP 15
5037 5041 HHNMCD15 HOME HLTH NON-AGNCY - MEDICAID AMT 15
5042 5045 HHNMCR15 HOME HLTH NON-AGNCY - MEDICARE AMT 15
5055 5055 HHNOFD15 HOME HLTH NON-AGNCY-OTHR FED AMT 15
5058 5060 HHNOPR15 HOME HLTH NON-AGNCY-OTH PRIVATE AMT 15
5061 5061 HHNOPU15 HOME HLTH NON-AGNCY-OTH PUBLIC AMT 15
5062 5064 HHNOSR15 H HLTH NON-AGNCY-OT UNCLASS SRCE AMT 15
5070 5072 HHNOTH15 HOME HLTH NON-AGNCY-OTH COMBINED AMT 15
5046 5050 HHNPRV15 HOME HLTH NON-AGNCY - PRIV INS AMT 15
5065 5069 HHNPTR15 HOME HLTH NON-AGNCY - PRV & TRI AMT 15
5032 5036 HHNSLF15 HOME HLTH NON-AGNCY - SELF/FAM AMT 15
5056 5056 HHNSTL15 HOME HLTH NON-AGNCY-OTHR ST/LOCL AMT 15
5022 5026 HHNTCH15 HOME HEALTH NON-AGENCY VISIT CHARGES 15
5053 5054 HHNTRI15 HOME HLTH NON-AGNCY-TRICARE AMT 15
5051 5052 HHNVA15 HOME HLTH NON-AGNCY-VA/CHAMPVA AMT 15
5057 5057 HHNWCP15 HOME HLTH NON-AGNCY-WORKERS COMP AMT 15
4932 4934 HHTOTD15 # HOME HEALTH PROVIDER DAYS, 2015
303 304 HIBPAGED AGE OF DIAGNOSIS-HIGH BLOOD PRESSURE
DATE: July 24, 2017
301 302 HIBPDX HIGH BLOOD PRESSURE DIAG (>17)

229 230 HIDEG HIGHEST DEGREE WHEN FIRST ENTERED MEPS
1560 1566 HIEUIDX HIEU IDENTIFIER
195 195 HISPANX HISPANIC ETHNICITY (EDITED/IMPUTED)
196 196 HISPNCAT HISPANIC ETHNICITY (EDITED/IMPUTED)
569 570 HOMEBH42 PROBLEM W/BEHAVIOR AT HOME (5-17)-R4/2
247 248 HONRDC31 HONORABLY DISCHARGED FROM MILITARY
1089 1091 HOUR31 HOURS PER WEEK AT RD 3/1 CMJ
1294 1296 HOUR31H HOURS PER WEEK AT RD 3/1 CMJ (IMP)
2005 2006 HPDAP15 HOLDER OF PRIV INS (SOURCE UNKNWN) APR15
2013 2014 HPDAU15 HOLDER OF PRIV INS (SOURCE UNKNWN) AUG15
2021 2022 HPDDE15 HOLDER OF PRIV INS (SOURCE UNKNWN) DEC15
2001 2002 HPDFE15 HOLDER OF PRIV INS (SOURCE UNKNWN) FEB15
1999 2000 HPDJA15 HOLDER OF PRIV INS (SOURCE UNKNWN) JAN15
2011 2012 HPDJL15 HOLDER OF PRIV INS (SOURCE UNKNWN) JUL15
2009 2010 HPDJU15 HOLDER OF PRIV INS (SOURCE UNKNWN) JUN15
2003 2004 HPDMA15 HOLDER OF PRIV INS (SOURCE UNKNWN) MAR15
2007 2008 HPDMY15 HOLDER OF PRIV INS (SOURCE UNKNWN) MAY15
2019 2020 HPDNO15 HOLDER OF PRIV INS (SOURCE UNKNWN) NOV15
2017 2018 HPDOC15 HOLDER OF PRIV INS (SOURCE UNKNWN) OCT15
2015 2016 HPDSE15 HOLDER OF PRIV INS (SOURCE UNKNWN) SEP15
1981 1982 HPEAP15 HOLDER OF EMPL UNION INS IN APR15
1989 1990 HPEAU15 HOLDER OF EMPL UNION INS IN AUG15
1997 1998 HPEDE15 HOLDER OF EMPL UNION INS IN DEC15
1977 1978 HPEFE15 HOLDER OF EMPL UNION INS IN FEB15
1975 1976 HPEJA15 HOLDER OF EMPL UNION INS IN JAN15
1987 1988 HPEJL15 HOLDER OF EMPL UNION INS IN JUL15
1985 1986 HPEJU15 HOLDER OF EMPL UNION INS IN JUN15
1979 1980 HPEMA15 HOLDER OF EMPL UNION INS IN MAR15
1983 1984 HPEMY15 HOLDER OF EMPL UNION INS IN MAY15
1995 1996 HPENO15 HOLDER OF EMPL UNION INS IN NOV15
1993 1994 HPEOC15 HOLDER OF EMPL UNION INS IN OCT15
1991 1992 HPESE15 HOLDER OF EMPL UNION INS IN SEP15
2029 2030 HPNAP15 HOLDER OF NONGROUP INS IN APR15
2037 2038 HPNAU15 HOLDER OF NONGROUP INS IN AUG15
2045 2046 HPNDE15 HOLDER OF NONGROUP INS IN DEC15
2025 2026 HPNFE15 HOLDER OF NONGROUP INS IN FEB15
2023 2024 HPNJA15 HOLDER OF NONGROUP INS IN JAN15
DATE: July 24, 2017
2035 2036 HPNJL15 HOLDER OF NONGROUP INS IN JUL15

2033 2034 HPNJU15 HOLDER OF NONGROUP INS IN JUN15
2027 2028 HPNMA15 HOLDER OF NONGROUP INS IN MAR15
2031 2032 HPNMY15 HOLDER OF NONGROUP INS IN MAY15
2043 2044 HPNNO15 HOLDER OF NONGROUP INS IN NOV15
2041 2042 HPNOC15 HOLDER OF NONGROUP INS IN OCT15
2039 2040 HPNSE15 HOLDER OF NONGROUP INS IN SEP15
2053 2054 HPOAP15 HOLDER OF OTHER GROUP INS IN APR15
2061 2062 HPOAU15 HOLDER OF OTHER GROUP INS IN AUG15
2069 2070 HPODE15 HOLDER OF OTHER GROUP INS IN DEC15
2049 2050 HPOFE15 HOLDER OF OTHER GROUP INS IN FEB15
2047 2048 HPOJA15 HOLDER OF OTHER GROUP INS IN JAN15
2059 2060 HPOJL15 HOLDER OF OTHER GROUP INS IN JUL15
2057 2058 HPOJU15 HOLDER OF OTHER GROUP INS IN JUN15
2051 2052 HPOMA15 HOLDER OF OTHER GROUP INS IN MAR15
2055 2056 HPOMY15 HOLDER OF OTHER GROUP INS IN MAY15
2067 2068 HPONO15 HOLDER OF OTHER GROUP INS IN NOV15
2065 2066 HPOOC15 HOLDER OF OTHER GROUP INS IN OCT15
2063 2064 HPOSE15 HOLDER OF OTHER GROUP INS IN SEP15
2125 2126 HPRAP15 HOLDER OF PRIVATE INSURANCE IN APR15
2133 2134 HPRAU15 HOLDER OF PRIVATE INSURANCE IN AUG15
2141 2142 HPRDE15 HOLDER OF PRIVATE INSURANCE IN DEC15
2121 2122 HPRFE15 HOLDER OF PRIVATE INSURANCE IN FEB15
2119 2120 HPRJA15 HOLDER OF PRIVATE INSURANCE IN JAN15
2131 2132 HPRJL15 HOLDER OF PRIVATE INSURANCE IN JUL15
2129 2130 HPRJU15 HOLDER OF PRIVATE INSURANCE IN JUN15
2123 2124 HPRMA15 HOLDER OF PRIVATE INSURANCE IN MAR15
2127 2128 HPRMY15 HOLDER OF PRIVATE INSURANCE IN MAY15
2139 2140 HPRNO15 HOLDER OF PRIVATE INSURANCE IN NOV15
2137 2138 HPROC15 HOLDER OF PRIVATE INSURANCE IN OCT15
2135 2136 HPRSE15 HOLDER OF PRIVATE INSURANCE IN SEP15
2077 2078 HPSAP15 HOLDER OF SELF-EMP-1 INS IN APR15
2085 2086 HPSAU15 HOLDER OF SELF-EMP-1 INS IN AUG15
2093 2094 HPSDE15 HOLDER OF SELF-EMP-1 INS IN DEC15
2073 2074 HPSFE15 HOLDER OF SELF-EMP-1 INS IN FEB15
2071 2072 HPSJA15 HOLDER OF SELF-EMP-1 INS IN JAN15
2083 2084 HPSJL15 HOLDER OF SELF-EMP-1 INS IN JUL15
2081 2082 HPSJU15 HOLDER OF SELF-EMP-1 INS IN JUN15
2075 2076 HPSMA15 HOLDER OF SELF-EMP-1 INS IN MAR15
2079 2080 HPSMY15 HOLDER OF SELF-EMP-1 INS IN MAY15
2091 2092 HPSNO15 HOLDER OF SELF-EMP-1 INS IN NOV15
2089 2090 HPSOC15 HOLDER OF SELF-EMP-1 INS IN OCT15
2087 2088 HPSSE15 HOLDER OF SELF-EMP-1 INS IN SEP15
2101 2102 HPXAP15 HOLDER OF PRIV INS THROUGH EXCH IN APR15
DATE: July 24, 2017
2109 2110 HPXAU15 HOLDER OF PRIV INS THROUGH EXCH IN AUG15

2117 2118 HPXDE15 HOLDER OF PRIV INS THROUGH EXCH IN DEC15
2097 2098 HPXFE15 HOLDER OF PRIV INS THROUGH EXCH IN FEB15
2095 2096 HPXJA15 HOLDER OF PRIV INS THROUGH EXCH IN JAN15
2107 2108 HPXJL15 HOLDER OF PRIV INS THROUGH EXCH IN JUL15
2105 2106 HPXJU15 HOLDER OF PRIV INS THROUGH EXCH IN JUN15
2099 2100 HPXMA15 HOLDER OF PRIV INS THROUGH EXCH IN MAR15
2103 2104 HPXMY15 HOLDER OF PRIV INS THROUGH EXCH IN MAY15
2115 2116 HPXNO15 HOLDER OF PRIV INS THROUGH EXCH IN NOV15
2113 2114 HPXOC15 HOLDER OF PRIV INS THROUGH EXCH IN OCT15
2111 2112 HPXSE15 HOLDER OF PRIV INS THROUGH EXCH IN SEP15
1059 1060 HRHOW31 HOW HOURLY WAGE WAS CALCULATED RD 3/1
1321 1326 HRWG31H HOURLY WAGE RD 3/1 CMJ (IMP)
1038 1043 HRWG31X HOURLY WAGE RD 3/1 CMJ (IMP)
1056 1056 HRWGIM31 HRWG31X IMPUTATION FLAG
475 476 HSELIM31 HOUSEWORK LIMITATION - RD 3/1
964 965 HSPLAP42 AC18 IS PROVIDER HISPANIC OR LATINO-R4/2
265 266 HWELLSPE HOW WELL PERSON SPEAKS ENGLISH
677 678 HYSTER53 HAD A HYSTERECTOMY (>17) - RD 5/3
419 420 IADLHP31 IADL SCREENER - RD 3/1
1128 1129 INDCAT31 INDUSTRY GROUP RD 3/1 CMJ
1282 1283 INDCT31H INDUSTRY GROUP RD 3/1 CMJ (IMP)
2498 2499 INS15X INSURED - 12/31/15 (ED)
2492 2493 INS31X INSURED - R3/1 INT DATE (ED)
2496 2497 INS53X INSURED 12-31/R3 INT DATE (ED)
2149 2150 INSAP15X COVR BY HOSP/MED INS IN APR15 (ED)
2506 2507 INSAT15X INSURED ANY TIME IN R5/R3 UNTIL 12/31/15
2500 2501 INSAT31X INSURED ANY TIME IN R3/1
DATE: July 24, 2017

2157 2158 INSAU15X COVR BY HOSP/MED INS IN AUG15 (ED)
153 153 INSC1231 INSCOPE STATUS ON 12/31/15
152 152 INSCOP15 INSCOPE - R5/3 START THROUGH 12/31/15
149 149 INSCOP31 INSCOPE - R3/1
154 154 INSCOPE WAS PERSON EVER INSCOPE IN 2015
2174 2174 INSCOV15 HEALTH INSURANCE COVERAGE INDICATOR 2015
2165 2166 INSDE15X COVR BY HOSP/MED INS IN DEC15 (ED)
2310 2311 INSENDMM MONTH MOST RECENTLY COVD-PANEL 20 ONLY
2312 2315 INSENDYY YEAR MOST RECENTLY COVD-PANEL 20 ONLY
2145 2146 INSFE15X COVR BY HOSP/MED INS IN FEB15 (ED)
2143 2144 INSJA15X COVR BY HOSP/MED INS IN JAN15 (ED)
2155 2156 INSJL15X COVR BY HOSP/MED INS IN JUL15 (ED)
2153 2154 INSJU15X COVR BY HOSP/MED INS IN JUN15 (ED)
2147 2148 INSMA15X COVR BY HOSP/MED INS IN MAR15 (ED)
2151 2152 INSMY15X COVR BY HOSP/MED INS IN MAY15 (ED)
2163 2164 INSNO15X COVR BY HOSP/MED INS IN NOV15 (ED)
2161 2162 INSOC15X COVR BY HOSP/MED INS IN OCT15 (ED)
922 923 INSRPL42 AC08 OTH REAS NO USC:JUST CHNGD INS-R4/2
2159 2160 INSSE15X COVR BY HOSP/MED INS IN SEP15 (ED)
2175 2175 INSURC15 FULL YEAR INSURANCE COVERAGE STATUS 2015
1474 1474 INTIMP15 INTEREST INCOME IMPUTATION FLAG
1469 1473 INTRP15X PERSON'S INTEREST INCOME
104 105 INTVLANG LANGUAGE INTERVIEW WAS COMPLETED
4644 4648 IPDEXP15 TOTL HOSP STAZ DR EXP 15
4460 4461 IPDIS15 # HOSPITAL DISCHARGES, 2015
4664 4667 IPDMCD15 IP HOSP STAZ-MEDICAID AMT-DR 15
4659 4663 IPDMCR15 IP HOSP STAZ-MEDICARE AMT- DR 15
4681 4684 IPDOFD15 IP HOSP STAZ-OTHER FED AMT-DR 15
4692 4696 IPDOPR15 IP HOSP STAZ - OTH PRIVATE AMT-DR 15
4697 4700 IPDOPU15 IP HOSP STAZ - OTH PUBLIC AMT-DR 15
4701 4704 IPDOSR15 IP HOSP STAZ-OT UNCLASS SORCE AMT-DR 15
4710 4714 IPDOTH15 IP HOSP STAZ-OTH COMBINED AMT-DR 15
4668 4672 IPDPRV15 IP HOSP STAZ-PRIV INS AMT-DR 15
4705 4709 IPDPTR15 IP HOSP STAZ-PRV & TRI AMT-DR 15
4655 4658 IPDSLF15 IP HOSP STAZ-SELF/FAMILY AMT-DR 15
4685 4687 IPDSTL15 IP HOSP STAZ-OTH ST/LOCAL AMT-DR 15
4649 4654 IPDTCH15 IP HOSP STAY CHARGES - DR 15
4677 4680 IPDTRI15 IP HOSP STAZ-TRICARE AMT-DR 15
4673 4676 IPDVA15 IP HOSP STAZ-VA/CHAMPVA AMT-DR 15
4688 4691 IPDWCP15 IP HOSP STAZ-WORKERS COMP AMT-DR 15
4553 4558 IPFEXP15 TOT HOSP IP FACILITY EXP-INC 0 NITES 15
DATE: July 24, 2017
4577 4582 IPFMCD15 IP HOSP STAZ-MEDICAID AMT-FAC 15

4571 4576 IPFMCR15 IP HOSP STAZ-MEDICARE AMT-FAC 15
4600 4604 IPFOFD15 IP HOSP STAZ-OTHER FED AMT-FAC 15
4615 4620 IPFOPR15 IP HOSP STAZ - OTH PRIVATE AMT-FAC 15
4621 4625 IPFOPU15 IP HOSP STAZ - OTH PUBLIC AMT-FAC 15
4626 4631 IPFOSR15 IP HOSP STAZ-OT UNCLASS SRCE AMT-FAC 15
4638 4643 IPFOTH15 IP HOSP STAZ-OTH COMBINED AMT-FAC 15
4583 4588 IPFPRV15 IP HOSP STAZ-PRIV INS AMT-FAC 15
4632 4637 IPFPTR15 IP HOSP STAZ-PRV & TRI AMT-FAC 15
4566 4570 IPFSLF15 IP HOSP STAZ-SELF/FAMILY AMT-FAC 15
4605 4609 IPFSTL15 IP HOSP STAZ-OTH ST/LOCAL AMT-FAC 15
4559 4565 IPFTCH15 IP HOSP STAY CHARGES - FAC 15
4595 4599 IPFTRI15 IP HOSP STAZ-TRICARE AMT-FAC 15
4589 4594 IPFVA15 IP HOSP STAZ-VA/CHAMPVA AMT-FAC 15
4610 4614 IPFWCP15 IP HOSP STAZ-WORKERS COMP AMT-FAC 15
4715 4717 IPNGTD15 # NIGHTS IN HOSP FOR DISCHARGES, 2015
4462 4467 IPTEXP15 TOT HOSP IP FACILITY + DR EXP 15
4486 4491 IPTMCD15 IP HOSP STAZ-MEDICAID AMT-(FAC+DR) 15
4480 4485 IPTMCR15 IP HOSP STAZ-MEDICARE AMT-(FAC+DR) 15
4509 4513 IPTOFD15 IP HOSP STAZ-OTHER FED AMT-(FAC+DR) 15
4524 4529 IPTOPR15 IP HOSP STAZ-OTH PRIVATE AMT-(FAC+DR) 15
4530 4534 IPTOPU15 IP HOSP STAZ-OTH PUBLIC AMT-(FAC+DR) 15
4535 4540 IPTOSR15 IP HSP STAZ-OTH UNCLS SRC AMT(FAC+DR) 15
4547 4552 IPTOTH15 IP HOSP STAZ-OTH COMBINED AMT(FAC+DR) 15
4492 4497 IPTPRV15 IP HOSP STAZ-PRIV INS AMT-(FAC+DR) 15
4541 4546 IPTPTR15 IP HOSP STAZ-PRV & TRI AMT-(FAC+DR) 15
4475 4479 IPTSLF15 IP HOSP STAZ-SELF/FAMILY AMT-(FAC+DR) 15
4514 4518 IPTSTL15 IP HSP STAZ-OTH ST/LOCAL AMT-(FAC+DR) 15
4468 4474 IPTTCH15 IP HOSP STAY CHARGES (FAC+DR) 15
4504 4508 IPTTRI15 IP HOSP STAZ-TRICARE AMT-(FAC+DR) 15
4498 4503 IPTVA15 IP HOSP STAZ-VA/CHAMPVA AMT-(FAC+DR) 15
4519 4523 IPTWCP15 IP HOSP STAZ-WRKRS COMP AMT-(FAC+DR) 15
4355 4355 IPZERO15 # ZERO-NIGHT HOSPITAL STAYS 15
1522 1522 IRAIMP15 IRA INCOME IMPUTATION FLAG
1516 1521 IRASP15X PERSON'S IRA INCOME
1303 1304 JBORG31H PRV, ST-LC GOV, FED GOV RD 3/1 CMJ (IMP)
1393 1395 JNTPID15 PID OF SECONDARY FILER
1225 1226 JOBORG31 PRIV (PROFIT,NONPROFIT) GOV RD 3/1 CMJ
932 933 JOBRSN42 AC08 OTH REAS NO USC: JOB RELATED-R4/2
1391 1392 JTINRU15 JOINT FILER'S MEMBERSHIP IN RU
DATE: July 24, 2017
369 370 JTPAIN31 JOINT PAIN LAST 12 MONTHS (>17) - RD 3/1

802 803 K6SUM42 SAQ 30 DAYS: OVERALL RATING OF FEELINGS
148 148 KEYNESS PERSON KEY STATUS
563 564 KIDPRO42 PRBLM GETTING ALONG W/KIDS (5-17)-R4/2
942 943 KNOWDR42 AC08 OTH REAS NO USC: KNOWS/IS A DR-R4/2
263 264 LANGSPK LANGUAGE SPOKEN AT HOME OTHER THAN ENGL
639 640 LAPBLT42 DR ADVISE LAP/SHOULDER BELT (80<WT)-R4/2
435 436 LFTDIF31 DIFFICULTY LIFTING 10 POUNDS - RD 3/1
962 963 LOCATN42 USC LOCATION-R4/2
673 674 LSTETH53 LOST ALL UPPR AND LOWR TEETH (>17)-RD5/3
683 684 MAMOGR53 HOW LNG SNCE LST MAMMOGRAM (>29) - RD5/3
203 204 MARRY15X MARITAL STATUS-12/31/15 (EDITED/IMPUTED)
197 198 MARRY31X MARITAL STATUS - R3/1 (EDITED/IMPUTED)
2338 2339 MCAID15 COV BY MEDICAID OR SCHIP - 12/31/15
2346 2347 MCAID15X COV BY MEDICAID OR SCHIP - 12/31/15 (ED)
2332 2333 MCAID31 COV BY MEDICAID OR SCHIP - R3/1 INT DT
2340 2341 MCAID31X COV BY MEDICAID/SCHIP - R3/1 INT DT (ED)
2336 2337 MCAID53 COV BY MEDICAID OR SCHIP 12-31/R3 INT DT
2344 2345 MCAID53X COV MEDICAID/SCHIP 12-31/R3 INT DT(ED)
2354 2355 MCARE15 COV BY MEDICARE - 12/31/15
2362 2363 MCARE15X COV BY MEDICARE - 12/31/15 (ED)
2348 2349 MCARE31 COV BY MEDICARE - R3/1 INT DT
2356 2357 MCARE31X COV BY MEDICARE - R3/1 INT DT (ED)
2352 2353 MCARE53 COV BY MEDICARE 12-31/R3 INT DT
2360 2361 MCARE53X COV BY MEDICARE 12-31/R3 INT DT (ED)
1645 1646 MCDAP15 COV BY MEDICAID OR SCHIP IN APR15
1669 1670 MCDAP15X COV BY MEDICAID OR SCHIP IN APR15 (ED)
2370 2371 MCDAT15X CV MCD/CHIP-ANY TME IN R5/3 TIL 12/31/15
2364 2365 MCDAT31X COV MEDICAID OR SCHIP - ANY TIME IN R3/1
1653 1654 MCDAU15 COV BY MEDICAID OR SCHIP IN AUG15
1677 1678 MCDAU15X COV BY MEDICAID OR SCHIP IN AUG15 (ED)
1661 1662 MCDDE15 COV BY MEDICAID OR SCHIP IN DEC15
1685 1686 MCDDE15X COV BY MEDICAID OR SCHIP IN DEC15 (ED)
2170 2170 MCDEV15 EVER HAVE MCAID/SCHIP DURING 2015 (ED)
DATE: July 24, 2017
1641 1642 MCDFE15 COV BY MEDICAID OR SCHIP IN FEB15

1665 1666 MCDFE15X COV BY MEDICAID OR SCHIP IN FEB15 (ED)
2234 2235 MCDHMO15 COV BY MCAID/SCHIP HMO-R5/3 TIL 12/31/15
2230 2231 MCDHMO31 COV BY MCAID/SCHIP HMO -ANY TIME IN R3/1
1639 1640 MCDJA15 COV BY MEDICAID OR SCHIP IN JAN15
1663 1664 MCDJA15X COV BY MEDICAID OR SCHIP IN JAN15 (ED)
1651 1652 MCDJL15 COV BY MEDICAID OR SCHIP IN JUL15
1675 1676 MCDJL15X COV BY MEDICAID OR SCHIP IN JUL15 (ED)
1649 1650 MCDJU15 COV BY MEDICAID OR SCHIP IN JUN15
1673 1674 MCDJU15X COV BY MEDICAID OR SCHIP IN JUN15 (ED)
1643 1644 MCDMA15 COV BY MEDICAID OR SCHIP IN MAR15
1667 1668 MCDMA15X COV BY MEDICAID OR SCHIP IN MAR15 (ED)
2240 2241 MCDMC15 CV MCD/CHIP GTKPR PLN-R5/3 TIL 12/31/15
2236 2237 MCDMC31 CV MCAID/CHIP GTKPR PLN-ANY TIME IN R3/1
1647 1648 MCDMY15 COV BY MEDICAID OR SCHIP IN MAY15
1671 1672 MCDMY15X COV BY MEDICAID OR SCHIP IN MAY15 (ED)
1659 1660 MCDNO15 COV BY MEDICAID OR SCHIP IN NOV15
1683 1684 MCDNO15X COV BY MEDICAID OR SCHIP IN NOV15 (ED)
1657 1658 MCDOC15 COV BY MEDICAID OR SCHIP IN OCT15
1681 1682 MCDOC15X COV BY MEDICAID OR SCHIP IN OCT15 (ED)
1655 1656 MCDSE15 COV BY MEDICAID OR SCHIP IN SEP15
1679 1680 MCDSE15X COV BY MEDICAID OR SCHIP IN SEP15 (ED)
1597 1598 MCRAP15 COVERED BY MEDICARE IN APR15
1621 1622 MCRAP15X COVERED BY MEDICARE IN APR15 (ED)
1605 1606 MCRAU15 COVERED BY MEDICARE IN AUG15
1629 1630 MCRAU15X COVERED BY MEDICARE IN AUG15 (ED)
1613 1614 MCRDE15 COVERED BY MEDICARE IN DEC15
1637 1638 MCRDE15X COVERED BY MEDICARE IN DEC15 (ED)
2169 2169 MCREV15 EVER HAVE MEDICARE DURING 2015 (ED)
1593 1594 MCRFE15 COVERED BY MEDICARE IN FEB15
1617 1618 MCRFE15X COVERED BY MEDICARE IN FEB15 (ED)
1591 1592 MCRJA15 COVERED BY MEDICARE IN JAN15
1615 1616 MCRJA15X COVERED BY MEDICARE IN JAN15 (ED)
1603 1604 MCRJL15 COVERED BY MEDICARE IN JUL15
1627 1628 MCRJL15X COVERED BY MEDICARE IN JUL15 (ED)
1601 1602 MCRJU15 COVERED BY MEDICARE IN JUN15
1625 1626 MCRJU15X COVERED BY MEDICARE IN JUN15 (ED)
1595 1596 MCRMA15 COVERED BY MEDICARE IN MAR15
1619 1620 MCRMA15X COVERED BY MEDICARE IN MAR15 (ED)
1599 1600 MCRMY15 COVERED BY MEDICARE IN MAY15
1623 1624 MCRMY15X COVERED BY MEDICARE IN MAY15 (ED)
1611 1612 MCRNO15 COVERED BY MEDICARE IN NOV15
DATE: July 24, 2017
1635 1636 MCRNO15X COVERED BY MEDICARE IN NOV15 (ED)

1609 1610 MCROC15 COVERED BY MEDICARE IN OCT15
1633 1634 MCROC15X COVERED BY MEDICARE IN OCT15 (ED)
2222 2223 MCRPB15 COV BY MEDICARE PART B - 12/31/15
2218 2219 MCRPB31 COV BY MEDICARE PART B - R3/1
2210 2211 MCRPD15 COV BY MEDICARE PMED BENEFIT - 12/31/15
2216 2217 MCRPD15X COV BY MCARE PMED BENEFIT-12/31/15 (ED)
2206 2207 MCRPD31 COV BY MEDICARE PMED BENEFIT - R3/1
2212 2213 MCRPD31X COV BY MEDICARE PMED BENEFIT - R3/1 (ED)
2228 2229 MCRPHO15 COV BY MEDICARE MANAGED CARE - 12/31/15
2224 2225 MCRPHO31 COV BY MEDICARE MANAGED CARE - R3/1
1607 1608 MCRSE15 COVERED BY MEDICARE IN SEP15
1631 1632 MCRSE15X COVERED BY MEDICARE IN SEP15 (ED)
783 787 MCS42 SAQ:MNT COMPONENT SUMMRY SF-12V2 IMPUTED
1008 1009 MDDLAY42 DELAYED IN GETTING NECSRY MED CARE-R4/2
1010 1011 MDDLRS42 AC38 RSN DLAYD GETTING NEC MED CARE-R4/2
1004 1005 MDUNAB42 UNABLE TO GET NECESSRY MEDICAL CARE-R4/2
1006 1007 MDUNRS42 AC34 RSN UNABLE GET NECSRY MED CARE-R4/2
615 616 MESBPR42 DR CHECKED BLOOD PRESSURE (2-17)-R4/2
601 602 MESHGT42 DOCTOR EVER MEASURED HEIGHT (0-17)-R4/2
613 614 MESVIS42 DOCTOR CHECKED CHILD'S VISION (3-6)-R4/2
605 606 MESWGT42 DOCTOR EVER MEASURED WEIGHT (0-17)-R4/2
317 318 MIAGED AGE OF DIAGNOSIS-HEART ATTACK(MI)
315 316 MIDX HEART ATTACK (MI) DIAG (>17)
447 448 MILDIF31 DIFFICULTY WALKING A MILE - RD 3/1
980 981 MINORP42 AC22 GO TO USC FOR NEW HEALTH PROB-R4/2
295 296 MNHLTH31 PERCEIVED MENTAL HEALTH STATUS - RD 3/1
547 548 MOMPRO42 PROBLEM GETTING ALONG W/MOM (5-17)-R4/2
271 273 MOPID31X PID OF PERSON'S MOM - RD 3/1
1143 1144 MORE31 RD 3/1 CMJ FIRM HAS MORE THAN 1 LOCAT
1276 1277 MORE31H RD 3/1 CMJ FIRM MORE THAN 1 LOCAT (IMP)
DATE: July 24, 2017
2308 2309 MORECOVR COV BY MOR COMPR PL PREV 2 YR-PN 20 ONLY

1030 1031 MORJOB31 HAS MORE THAN ONE JOB RD 3/1 INT DATE
924 925 MYSELF42 AC08 OTH REAS NO USC:NO DOC/TRT SLF-R4/2
972 973 NATAMP42 AC19 IS PROVIDER NATIVE AMERICAN-R4/2
559 560 NERVAF42 PRBLM FEELING NERVOUS/AFRAID (5-17)-R4/2
912 913 NEWARE42 AC08 OTH REAS NO USC:RECENTLY MOVED-R4/2
934 935 NEWDOC42 AC08 OTH REAS NO USC: LOOKNG FOR DR-R4/2
1071 1076 NHRWG31 UPDATED HRLY WAGE RD 3/1 CMJ (EDITED)
1267 1269 NMEMP31H NUMBER OF EMPLOYEES AT RD 3/1 CMJ (IMP)
669 670 NOASPR53 TAKING ASPIRIN UNSAFE (>17) - RD 5/3
661 662 NOFAT53 RESTRICT HGH FAT/CHOLES FOOD (>17)-RD5/3
946 947 NOGODR42 AC08 OTH REAS NO USC: WONT GO TO DR-R4/2
928 929 NOHINS42 AC08 OTH REAS NO USC:NO HLTH INSRNC-R4/2
2302 2303 NOINSBEF EVR WOUT HLTH INSR PREV YR-PANEL 20 ONLY
2304 2305 NOINSTM # WKS/MON WOUT HLTH INS PRV YR-P20 ONLY
2306 2307 NOINUNIT UNIT OF TIME WOUT HLTH INS-PANEL 20 ONLY
938 939 NOLIKE42 AC08 OTH REAS NO USC: DONT LIKE DRS-R4/2
908 909 NOREAS42 AC08 OTH REAS NO USC:NO OTH REASONS-R4/2
647 648 NOSMOK42 DR ADVISE SMKG IN HOME IS BAD(0-17)-R4/2
1134 1136 NUMEMP31 NUMBER OF EMPLOYEES AT RD 3/1 CMJ
1155 1156 NWK31 REASON NOT WORKING DURING RD 3/1
3120 3124 OBAEXP15 TOTAL OFF-BASED PHYS ASS T EXP 15
3133 3136 OBAMCD15 PHYS ASS T OFF VSTS - MEDICAID AMT 15
3129 3132 OBAMCR15 PHYS ASS T OFF VSTS - MEDICARE AMT 15
3150 3152 OBAOFD15 PHYS ASS T OFF VSTS - OTHER FED AMT 15
3160 3163 OBAOPR15 PHYS ASS T OFF VSTS - OTH PRIVATE AMT 15
3164 3166 OBAOPU15 PHYS ASS T OFF VSTS - OTH PUBLIC AMT 15
3167 3169 OBAOSR15 P A OFF VSTS - OTH UNCLASS SRCE AMT 15
3175 3178 OBAOTH15 PHYS ASST OFF VSTS - OTH COMBINED AMT 15
3137 3141 OBAPRV15 PHYS ASS T OFF VSTS - PRIVATE INS AMT 15
3170 3174 OBAPTR15 PHYS ASST OFF VSTS - PRV & TRI AMT 15
3125 3128 OBASLF15 PHYS ASS T OFF VSTS - SELF/FAMILY AMT 15
3112 3113 OBASST15 # OFF-BASED PHYSICIAN ASSIST VISITS 15
3153 3155 OBASTL15 PHYS ASS T OFF VSTS - OTH ST/LOCL AMT 15
DATE: July 24, 2017
3114 3119 OBATCH15 OFFICE-BASED PHYS ASST VISIT CHARGES 15

3146 3149 OBATRI15 PHYS ASS T OFF VSTS - TRICARE AMT 15
3142 3145 OBAVA15 PHYS ASS T OFF VSTS - VA/CHAMPVA AMT 15
3156 3159 OBAWCP15 PHYS ASS T OFF VSTS-WORKERS COMP AMT 15
2921 2925 OBCEXP15 TOTAL OFF-BASED CHIRO EXP 15
2913 2915 OBCHIR15 # OFFICE-BASED CHIROPRACTOR VISITS 15
2934 2937 OBCMCD15 CHIRO OFF VISITS - MEDICAID AMT 15
2930 2933 OBCMCR15 CHIRO OFF VISITS - MEDICARE AMT 15
2950 2950 OBCOFD15 CHIRO OFF VISITS - OTHER FEDERAL AMT 15
2958 2961 OBCOPR15 CHIRO OFF VISTS - OTHR PRIVATE AMT 15
2962 2964 OBCOPU15 CHIRO OFF VISTS - OTHR PUBLIC AMT 15
2965 2969 OBCOSR15 CHIRO OFF VSTS-OTHR UNCLASS SRCE AMT 15
2975 2979 OBCOTH15 CHIRO OFF VISITS -OTH COMBINED AMT 15
2938 2942 OBCPRV15 CHIRO OFF VISITS - PRIVATE INS AMT 15
2970 2974 OBCPTR15 CHIRO OFF VISITS - PRV & TRI AMT 15
2926 2929 OBCSLF15 CHIRO OFF VISITS - SELF/FAMILY AMT 15
2951 2953 OBCSTL15 CHIRO OFF VISITS - OTH ST/LOCAL AMT 15
2916 2920 OBCTCH15 OFFICE-BASED CHIRO VISIT CHARGES 15
2947 2949 OBCTRI15 CHIRO OFF VISITS - TRICARE AMT 15
2943 2946 OBCVA15 CHIRO OFF VISITS - VA/CHAMPVA AMT 15
2954 2957 OBCWCP15 CHIRO OFF VISITS - WORKERS COMP AMT 15
2751 2756 OBDEXP15 TOTAL OFF-BASED DR EXP 15
2768 2773 OBDMCD15 DR OFFICE VISITS - MEDICAID AMT 15
2762 2767 OBDMCR15 DR OFFICE VISITS - MEDICARE AMT 15
2789 2792 OBDOFD15 DR OFFICE VISITS - OTHER FEDERAL AMT 15
2804 2808 OBDOPR15 DR OFFICE VISITS - OTH PRIVATE AMT 15
2809 2812 OBDOPU15 DR OFFICE VISITS - OTH PUBLIC AMT 15
2813 2817 OBDOSR15 DR OFF VSTS - OTH UNCLASS SRCE AMT 15
2824 2829 OBDOTH15 DR OFFICE VISITS - OTH COMBINED AMT 15
2774 2779 OBDPRV15 DR OFFICE VISITS - PRIVATE INS AMT 15
2818 2823 OBDPTR15 DR OFFICE VISITS - PRV & TRI AMT 15
2741 2743 OBDRV15 # OFFICE-BASED PHYSICIAN VISITS 15
2757 2761 OBDSLF15 DR OFFICE VISITS - SELF/FAMILY AMT 15
2793 2798 OBDSTL15 DR OFFICE VISITS - OTH ST/LOCAL AMT 15
2744 2750 OBDTCH15 OFFICE-BASED PHYSICIAN VISIT CHARGES 15
2785 2788 OBDTRI15 DR OFFICE VISITS - TRICARE AMT 15
2780 2784 OBDVA15 DR OFFICE VISITS - VA/CHAMPVA AMT 15
2799 2803 OBDWCP15 DR OFFICE VISITS - WORKERS COMP AMT 15
3064 3067 OBEEXP15 TOTAL OFF-BASED OPTOMETRIST EXP 15
3075 3078 OBEMCD15 OPTOMETRIST OFF VSTS - MEDICAID AMT 15
3072 3074 OBEMCR15 OPTOMETRIST OFF VSTS - MEDICARE AMT 15
3090 3092 OBEOFD15 OPTOMETRIST OFF VSTS-OTH FEDERAL AMT 15
3096 3098 OBEOPR15 OPTOMETRIST OFF VSTS-OTH PRIVATE AMT 15
3099 3101 OBEOPU15 OPTOMETRIST OFF VSTS - OTH PUBLIC AMT 15
DATE: July 24, 2017
3102 3104 OBEOSR15 OPTOM OFF VSTS-OTH UNCLASS SRCE AMT 15

3109 3111 OBEOTH15 OPTOMETRIST OFF VSTS-OTH COMBINED AMT 15
3079 3082 OBEPRV15 OPTOMETRIST OFF VSTS-PRIVATE INS AMT 15
3105 3108 OBEPTR15 OPTOMETRIST OFF VSTS - PRV & TRI AMT 15
3068 3071 OBESLF15 OPTOMETRIST OFF VSTS-SELF/FAMILY AMT 15
3093 3094 OBESTL15 OPTOMETRIST OFF VSTS-OTH ST/LOCL AMT 15
3059 3063 OBETCH15 OFFICE-BASED OPTOMTRIST VISIT CHARGES 15
3087 3089 OBETRI15 OPTOMETRIST OFF VSTS - TRICARE AMT 15
3083 3086 OBEVA15 OPTOMETRIST OFF VSTS - VA/CHAMPVA AMT 15
3095 3095 OBEWCP15 OPTOMETRIST OFF VSTS-WORKERS COMP AMT 15
2989 2993 OBNEXP15 TOTAL OFF-BASED NURSE/PRAC 15
3003 3007 OBNMCD15 NURSE/PRAC OFF VSTS - MEDICAID AMT 15
2998 3002 OBNMCR15 NURSE/PRAC OFF VISITS - MEDICARE AMT 15
3021 3025 OBNOFD15 NURSE/PRAC OFF VSTS-OTHER FEDERAL AMT 15
3035 3038 OBNOPR15 NURSE/PRAC OFF VSTS - OTH PRIVATE AMT 15
3039 3042 OBNOPU15 NURSE/PRAC OFF VSTS - OTH PUBLIC AMT 15
3043 3046 OBNOSR15 NRS/PR OFF VSTS-OTH UNCLASS SRCE AMT 15
3052 3056 OBNOTH15 NURSE/PRAC OFF VSTS-OTH COMBINED AMT 15
3008 3012 OBNPRV15 NURSE/PRAC OFF VSTS-PRIVATE INS AMT 15
3047 3051 OBNPTR15 NURSE/PRAC OFF VSTS - PRV & TRI AMT 15
2994 2997 OBNSLF15 NURSE/PRAC OFF VISITS-SELF/FAMILY AMT 15
3026 3030 OBNSTL15 NURSE/PRAC OFF VSTS-OTH ST/LOCAL AMT 15
2983 2988 OBNTCH15 OFFICE-BASED NURSE/PRAC VISIT CHARGES 15
3017 3020 OBNTRI15 NURSE/PRAC OFF VSTS - TRICARE AMT 15
2980 2982 OBNURS15 # OFF-BASED NURSE/PRACTITIONER VISITS 15
3013 3016 OBNVA15 NURSE/PRAC OFF VSTS - VA/CHAMPVA AMT 15
3031 3034 OBNWCP15 NURSE/PRAC OFF VSTS-WORKERS COMP AMT 15
2839 2843 OBOEXP15 TOTAL OFF-BASED NON-DR EXP 15
2854 2858 OBOMCD15 NON-DR OFF VISTS - MEDICAID AMT 15
2849 2853 OBOMCR15 NON-DR OFF VISTS - MEDICARE AMT 15
2874 2878 OBOOFD15 NON-DR OFF VISTS - OTHER FEDERAL AMT 15
2889 2893 OBOOPR15 NON-DR OFF VISTS - OTH PRIVATE AMT 15
2894 2897 OBOOPU15 NON-DR OFF VISTS - OTH PUBLIC AMT 15
2898 2902 OBOOSR15 NON-DR OF VSTS - OTH UNCLASS SRCE AMT 15
2908 2912 OBOOTH15 NON-DR OFF VISTS - OTH COMBINED AMT 15
2859 2863 OBOPRV15 NON-DR OFF VISTS - PRIVATE INS AMT 15
3057 3058 OBOPTO15 # OFF-BASED OPTOMETRIST VISITS 15
2903 2907 OBOPTR15 NON-DR OFF VISTS - PRV & TRI AMT 15
2844 2848 OBOSLF15 NON-DR OFF VISTS - SELF/FAMILY AMT 15
2879 2883 OBOSTL15 NON-DR OFF VISTS - OTH ST/LOCAL AMT 15
2833 2838 OBOTCH15 OFFICE-BASED NON-DR VISIT CHARGES 15
2830 2832 OBOTHV15 # OFFICE-BASED NON-PHYSICAN VISITS 15
2869 2873 OBOTRI15 NON-DR OFF VISTS - TRICARE AMT 15
2864 2868 OBOVA15 NON-DR OFF VISTS - VA/CHAMPVA AMT 15
DATE: July 24, 2017
2884 2888 OBOWCP15 NON-DR OFF VISTS - WORKERS COMP AMT 15

3187 3191 OBTEXP15 TOT OFF-BASED PT EXP 15
3179 3181 OBTHER15 # OFF-BASED PT/OT VISITS 15
3201 3205 OBTMCD15 PT/OT OFF VISITS - MEDICAID AMT 15
3196 3200 OBTMCR15 PT/OT OFF VISITS - MEDICARE AMT 15
3220 3223 OBTOFD15 PT/OT OFF VISITS - OTHER FED AMT 15
3232 3235 OBTOPR15 PT/OT OFF VISITS - OTH PRIVATE AMT 15
3236 3238 OBTOPU15 PT/OT OFF VISITS - OTH PUBLIC AMT 15
3239 3243 OBTOSR15 PT/OT OFF VSTS-OTH UNCLASS SRCE AMT 15
3249 3253 OBTOTH15 PT/OT OFF VISITS - OTH COMBINED AMT 15
2649 2651 OBTOTV15 # OFFICE-BASED PROVIDER VISITS 15
3206 3210 OBTPRV15 PT/OT OFF VISITS - PRIVATE INS AMT 15
3244 3248 OBTPTR15 PT/OT OFF VISITS - PRV & TRI AMT 15
3192 3195 OBTSLF15 PT/OT OFF VISITS - SELF/FAMILY AMT 15
3224 3226 OBTSTL15 PT/OT OFF VISITS - OTH ST/LOCL AMT 15
3182 3186 OBTTCH15 OFFICE-BASED PT/OC VISIT CHARGES 15
3216 3219 OBTTRI15 PT/OT OFF VISITS - TRICARE AMT 15
3211 3215 OBTVA15 PT/OT OFF VISITS - VA/CHAMPVA AMT 15
3227 3231 OBTWCP15 PT/OT OFF VISITS - WORKERS COMP AMT 15
2659 2664 OBVEXP15 TOTAL OFFICE-BASED EXP 15
2676 2681 OBVMCD15 ALL OFFICE VISITS - MEDICAID AMT 15
2670 2675 OBVMCR15 ALL OFFICE VISITS - MEDICARE AMT 15
2698 2702 OBVOFD15 ALL OFFICE VISITS-OTHER FEDERAL AMT 15
2714 2718 OBVOPR15 ALL OFFICE VISITS - OTH PRIVATE AMT 15
2719 2723 OBVOPU15 ALL OFFICE VISITS - OTH PUBLIC AMT 15
2724 2728 OBVOSR15 ALL OFF VSTS - OTH UNCLASS SRCE AMT 15
2735 2740 OBVOTH15 ALL OFFICE VISITS - OTH COMBINED AMT 15
2682 2687 OBVPRV15 ALL OFFICE VISITS - PRIVATE INS AMT 15
2729 2734 OBVPTR15 ALL OFFICE VISITS - PRV & TRI AMT 15
2665 2669 OBVSLF15 ALL OFFICE VISITS - SELF/FAMILY AMT 15
2703 2708 OBVSTL15 ALL OFFICE VISITS-OTH ST/LOCAL AMT 15
2652 2658 OBVTCH15 OFFICE-BASED PROVIDER VISIT CHARGES 15
2693 2697 OBVTRI15 ALL OFFICE VISITS-TRICARE AMT 15
2688 2692 OBVVA15 ALL OFFICE VISITS-VA/CHAMPVA AMT 15
2709 2713 OBVWCP15 ALL OFFICE VISITS - WORKERS COMP AMT 15
1189 1190 OCCCAT31 OCCUPATION GROUP RD 3/1 CMJ
1288 1289 OCCCT31H OCCUPATION GROUP RD 3/1 CMJ (IMP)
1351 1352 OFEMP31H EMP OFFERS HEALTH INS RD 3/1 CMJ (IMP)
DATE: July 24, 2017
1345 1346 OFFER31H HEALTH INSUR OFFERED BY RD 3/1 CMJ (IMP)

1237 1238 OFFER31X HEALTH INSUR OFFERED BY RD 3/1 CMJ (ED)
990 991 OFFHOU42 AC24 USC HAS OFFCE HRS NGHTS/WKENDS-R4/2
1243 1244 OFREMP31 EMPLOYER OFFERS HEALTH INS RD 3/1 CMJ
321 322 OHRTAGED AGE OF DIAGNOSIS-OTHER HEART DISEASE
319 320 OHRTDX OTHER HEART DISEASE DIAG (>17)
986 987 ONGONG42 AC22 GO TO USC FOR ONGOING HLTH PRB-R4/2
944 945 ONJOB42 AC08 OTH REAS NO USC: DR AT WORK-R4/2
1693 1694 OPAAP15 COV BY OTHER PUBLIC A INS IN APR15
1701 1702 OPAAU15 COV BY OTHER PUBLIC A INS IN AUG15
1709 1710 OPADE15 COV BY OTHER PUBLIC A INS IN DEC15
2171 2171 OPAEV15 EVER HAVE OTHER PUBLIC A INS DURING 2015
1689 1690 OPAFE15 COV BY OTHER PUBLIC A INS IN FEB15
1687 1688 OPAJA15 COV BY OTHER PUBLIC A INS IN JAN15
1699 1700 OPAJL15 COV BY OTHER PUBLIC A INS IN JUL15
1697 1698 OPAJU15 COV BY OTHER PUBLIC A INS IN JUN15
1691 1692 OPAMA15 COV BY OTHER PUBLIC A INS IN MAR15
1695 1696 OPAMY15 COV BY OTHER PUBLIC A INS IN MAY15
1707 1708 OPANO15 COV BY OTHER PUBLIC A INS IN NOV15
1705 1706 OPAOC15 COV BY OTHER PUBLIC A INS IN OCT15
1703 1704 OPASE15 COV BY OTHER PUBLIC A INS IN SEP15
1717 1718 OPBAP15 COV BY OTHER PUBLIC B INS IN APR15
1725 1726 OPBAU15 COV BY OTHER PUBLIC B INS IN AUG15
1733 1734 OPBDE15 COV BY OTHER PUBLIC B INS IN DEC15
2172 2172 OPBEV15 EVER HAVE OTHER PUBLIC B INS DURING 2015
1713 1714 OPBFE15 COV BY OTHER PUBLIC B INS IN FEB15
1711 1712 OPBJA15 COV BY OTHER PUBLIC B INS IN JAN15
1723 1724 OPBJL15 COV BY OTHER PUBLIC B INS IN JUL15
1721 1722 OPBJU15 COV BY OTHER PUBLIC B INS IN JUN15
1715 1716 OPBMA15 COV BY OTHER PUBLIC B INS IN MAR15
1719 1720 OPBMY15 COV BY OTHER PUBLIC B INS IN MAY15
1731 1732 OPBNO15 COV BY OTHER PUBLIC B INS IN NOV15
1729 1730 OPBOC15 COV BY OTHER PUBLIC B INS IN OCT15
1727 1728 OPBSE15 COV BY OTHER PUBLIC B INS IN SEP15
3423 3427 OPDEXP15 TOTAL OUTPATIENT PROVIDER EXP 15
3443 3446 OPDMCD15 ALL OPD VISITS-MEDICAID AMT-DR 15
3438 3442 OPDMCR15 ALL OPD VISITS-MEDICARE AMT-DR 15
3460 3461 OPDOFD15 ALL OPD VISITS-OTHER FED AMT-DR 15
DATE: July 24, 2017
3470 3473 OPDOPR15 ALL OPD VISITS - OTH PRIVATE AMT-DR 15

3474 3477 OPDOPU15 ALL OPD VISITS-OTH PUBLIC AMT-DR 15
3478 3481 OPDOSR15 ALL OPD VSTS-OTH UNCLASS SRCE AMT-DR 15
3487 3490 OPDOTH15 ALL OPD VISITS-OTH COMBINED AMT-DR 15
3447 3451 OPDPRV15 ALL OPD VISITS-PRIV INS AMT-DR 15
3482 3486 OPDPTR15 ALL OPD VISITS-PRV & TRI AMT -DR 15
3491 3492 OPDRV15 # OUTPATIENT DEPT PHYSICIAN VISITS 15
3433 3437 OPDSLF15 ALL OPD VISITS-SELF/FAMILY AMT-DR 15
3462 3465 OPDSTL15 ALL OPD VISITS-OTH ST/LOCAL AMT-DR 15
3428 3432 OPDTCH15 OPD PROVIDER VISIT CHARGES - DR 15
3456 3459 OPDTRI15 ALL OPD VISITS-TRICARE AMT-DR 15
3452 3455 OPDVA15 ALL OPD VISITS-VA/CHAMPVA AMT-DR 15
3466 3469 OPDWCP15 ALL OPD VISITS-WORKERS COMP AMT-DR 15
3346 3351 OPFEXP15 TOTAL OUTPATIENT FACILITY EXP 15
3363 3367 OPFMCD15 ALL OPD VISITS-MEDICAID AMT-FAC 15
3357 3362 OPFMCR15 ALL OPD VISITS-MEDICARE AMT-FAC 15
3383 3387 OPFOFD15 ALL OPD VISITS-OTHER FED AMT-FAC 15
3398 3402 OPFOPR15 ALL OPD VISITS - OTH PRIVATE AMT-FAC 15
3403 3407 OPFOPU15 ALL OPD VISITS - OTH PUBLIC AMT-FAC 15
3408 3412 OPFOSR15 ALL OPD VSTS-OTH UNCLASS SRCE AMT-FAC 15
3418 3422 OPFOTH15 ALL OPD VISITS - OTH COMBINED AMT-FAC 15
3368 3372 OPFPRV15 ALL OPD VISITS-PRIV INS AMT-FAC 15
3413 3417 OPFPTR15 ALL OPD VISITS - PRV & TRI AMT-FAC 15
3352 3356 OPFSLF15 ALL OPD VISITS-SELF/FAMILY AMT-FAC 15
3388 3392 OPFSTL15 ALL OPD VISITS-OTH ST/LOCAL AMT-FAC 15
3340 3345 OPFTCH15 OPD PROVIDER VISIT CHARGES - FAC 15
3378 3382 OPFTRI15 ALL OPD VISITS-TRICARE AMT-FAC 15
3373 3377 OPFVA15 ALL OPD VISITS-VA/CHAMPVA AMT-FAC 15
3393 3397 OPFWCP15 ALL OPD VISITS-WORKERS COMP AMT-FAC 15
3649 3654 OPOEXP15 TOTAL OUTPATIENT NON-DR - FAC EXP 15
3665 3669 OPOMCD15 OPD NON-DR VISITS-MEDICAID AMT-FAC 15
3659 3664 OPOMCR15 OPD NON-DR VISITS-MEDICARE AMT-FAC 15
3685 3689 OPOOFD15 OPD NON-DR VISITS-OTHER FED AMT-FAC 15
3699 3703 OPOOPR15 OPD NON-DR VISITS-OTH PRIVATE AMT-FAC 15
3704 3706 OPOOPU15 OPD NON-DR VISITS-OTH PUBLIC AMT-FAC 15
3707 3710 OPOOSR15 OPD NON-DR VSTS-OT UNCLAS SRC AMT-FAC 15
3716 3720 OPOOTH15 OPD NON-DR VISITS-OTH COMBINED AM-FAC 15
3670 3674 OPOPRV15 OPD NON-DR VISITS-PRIV INS AMT-FAC 15
3711 3715 OPOPTR15 OPD NON-DR VISITS - PRV & TRI AMT-FAC 15
3655 3658 OPOSLF15 OPD NON-DR VISITS-SELF/FAM AMT-FAC 15
3690 3693 OPOSTL15 OPD NON-DR VISITS-OTH ST/LOC AMT-FAC 15
3643 3648 OPOTCH15 OPD NON-PHYS VISIT CHARGES - FAC 15
3640 3642 OPOTHV15 # OUTPATIENT DEPT NON-DR VISITS 15
3680 3684 OPOTRI15 OPD NON-DR VISITS-TRICARE AMT-FAC 15
DATE: July 24, 2017
3675 3679 OPOVA15 OPD NON-DR VISITS-VA/CHAMPVA AMT-FAC 15

3694 3698 OPOWCP15 OPD NON-DR VISITS-WRKRS COMP AMT-FAC 15
3721 3725 OPPEXP15 TOTAL OUTPATIENT NON-DR - DR EXP 15
3739 3742 OPPMCD15 OPD NON-DR VISITS-MEDICAID AMT-DR 15
3735 3738 OPPMCR15 OPD NON-DR VISITS-MEDICARE AMT-DR 15
3754 3755 OPPOFD15 OPD NON-DR VISITS-OTHER FED AMT-DR 15
3763 3765 OPPOPR15 OPD NON-DR VISITS-OTH PRIVATE AMT-DR 15
3766 3768 OPPOPU15 OPD NON-DR VISITS-OTH PUBLIC AMT-DR 15
3769 3772 OPPOSR15 OPD NON-DR VSTS-OT UNCLAS SRC AMT-DR 15
3778 3781 OPPOTH15 OPD NON-DR VISITS-OTH COMBINED AMT-DR 15
3743 3747 OPPPRV15 OPD NON-DR VISITS-PRIV INS AMT-DR 15
3773 3777 OPPPTR15 OPD NON-DR VISITS - PRV & TRI AMT-DR 15
3731 3734 OPPSLF15 OPD NON-DR VISITS-SELF/FAM AMT-DR 15
3756 3758 OPPSTL15 OPD NON-DR VISITS-OTH ST/LOC AMT-DR 15
3726 3730 OPPTCH15 OPD NON-PHYS VISIT CHARGES - DR 15
3751 3753 OPPTRI15 OPD NON-DR VISITS-TRICARE AMT-DR 15
3748 3750 OPPVA15 OPD NON-DR VISITS-VA/CHAMPVA AMT-DR 15
3759 3762 OPPWCP15 OPD NON-DR VISITS-WRKRS COMP AMT-DR 15
3573 3577 OPSEXP15 TOTAL OUTPATIENT PHYSICIAN - DR EXP 15
3593 3596 OPSMCD15 OPD DR VISITS-MEDICAID AMT-DR 15
3588 3592 OPSMCR15 OPD DR VISITS-MEDICARE AMT-DR 15
3609 3610 OPSOFD15 OPD DR VISITS-OTHER FED AMT-DR 15
3619 3622 OPSOPR15 OPD DR VISITS - OTH PRIVATE AMT-DR 15
3623 3626 OPSOPU15 OPD DR VISITS-OTH PUBLIC AMT-DR 15
3627 3630 OPSOSR15 OPD DR VSTS-OTH UNCLASS SRCE AMT-DR 15
3636 3639 OPSOTH15 OPD DR VISITS -OTH COMBINED AMT-DR 15
3597 3601 OPSPRV15 OPD DR VISITS-PRIV INS AMT-DR 15
3631 3635 OPSPTR15 OPD DR VISITS - PRV & TRI AMT-DR 15
3583 3587 OPSSLF15 OPD DR VISITS-SELF/FAMILY AMT-DR 15
3611 3614 OPSSTL15 OPD DR VISITS-OTH ST/LOCAL AMT-DR 15
3578 3582 OPSTCH15 OPD PHYSICIAN VISIT CHARGES - DR 15
3605 3608 OPSTRI15 OPD DR VISITS-TRICARE AMT-DR 15
3602 3604 OPSVA15 OPD DR VISITS-VA/CHAMPVA AMT-DR 15
3615 3618 OPSWCP15 OPD DR VISITS-WORKERS COMP AMT-DR 15
3263 3268 OPTEXP15 TOTAL OUTPATIENT FAC + DR EXP 15
3280 3284 OPTMCD15 ALL OPD VSTS-MEDICAID AMT-(FAC+DR) 15
3274 3279 OPTMCR15 ALL OPD VSTS-MEDICARE AMT-(FAC+DR) 15
3300 3304 OPTOFD15 ALL OPD VSTS-OTHER FED AMT-(FAC+DR) 15
3315 3319 OPTOPR15 ALL OPD VSTS-OTH PRIVATE AMT-(FAC+DR) 15
3320 3324 OPTOPU15 ALL OPD VSTS-OTH PUBLIC AMT-(FAC+DR) 15
3325 3329 OPTOSR15 ALL OPD VST-OTH UNCLS SRC AMT(FAC+DR) 15
3335 3339 OPTOTH15 ALL OPD VSTS-OTH COMBINED AMT(FAC+DR) 15
3254 3256 OPTOTV15 # OUTPATIENT DEPT PROVIDER VISITS 15
3285 3289 OPTPRV15 ALL OPD VSTS-PRIV INS AMT-(FAC+DR) 15
DATE: July 24, 2017
3330 3334 OPTPTR15 ALL OPD VISITS-PRV & TRI AMT (FAC+DR) 15
3269 3273 OPTSLF15 ALL OPD VSTS-SELF/FAMILY AMT-(FAC+DR) 15
3305 3309 OPTSTL15 ALL OPD VST-OTH ST/LOCAL AMT(FAC+DR) 15
3257 3262 OPTTCH15 OPD FACILITY + DR VISIT CHARGES - 15
3295 3299 OPTTRI15 ALL OPD VSTS-TRICARE AMT-(FAC+DR) 15
3290 3294 OPTVA15 ALL OPD VSTS-VA/CHAMPVA AMT-(FAC+DR) 15
3310 3314 OPTWCP15 ALL OPD VST-WORKRS COMP AMT-(FAC+DR) 15
3499 3504 OPVEXP15 TOTAL OUTPATIENT PHYSICIAN - FAC EXP 15
3516 3520 OPVMCD15 OPD DR VISITS-MEDICAID AMT-FAC 15
3510 3515 OPVMCR15 OPD DR VISITS-MEDICARE AMT-FAC 15
3536 3540 OPVOFD15 OPD DR VISITS-OTHER FED AMT-FAC 15
3550 3553 OPVOPR15 OPD DR VISITS - OTH PRIVATE AMT-FAC 15
3554 3558 OPVOPU15 OPD DR VISITS-OTH PUBLIC AMT-FAC 15
3559 3562 OPVOSR15 OPD DR VSTS-OTH UNCLASS SRCE AMT-FAC 15
3568 3572 OPVOTH15 OPD DR VISITS - OTH COMBINED AMT-FAC 15
3521 3525 OPVPRV15 OPD DR VISITS-PRIV INS AMT-FAC 15
3563 3567 OPVPTR15 OPD DR VISITS - PRV & TRI AMT-FAC 15
3505 3509 OPVSLF15 OPD DR VISITS-SELF/FAMILY AMT-FAC 15
3541 3545 OPVSTL15 OPD DR VISITS-OTH ST/LOCAL AMT-FAC 15
3493 3498 OPVTCH15 OPD PHYSICIAN VISIT CHARGES - FAC 15
3531 3535 OPVTRI15 OPD DR VISITS-TRICARE AMT-FAC 15
3526 3530 OPVVA15 OPD DR VISITS-VA/CHAMPVA AMT-FAC 15
3546 3549 OPVWCP15 OPD DR VISITS-WORKERS COMP AMT-FAC 15
898 899 OTHDYS15 MISS ANY WORK DAY TO CARE FOR OTH 2015
5141 5145 OTHEXP15 TOT OTHER EQUIP/SPLY (EXCL DIAB) EXP 15
1559 1559 OTHIMP15 OTHER INCOME IMPUTATION FLAG
930 931 OTHINS42 AC08 OTH REAS NO USC: INS RELATED-R4/2
261 262 OTHLANG IN FAMILY WITH SOMEONE SPKNG OTHER LANG
5156 5160 OTHMCD15 OTHER EQUP/SUPPLIES-MEDICAID AMT 15
5151 5155 OTHMCR15 OTHER EQUP/SUPPLIES-MEDICARE AMT 15
900 901 OTHNDD15 # DAY MISSED WORK TO CARE FOR OTH 2015
5174 5175 OTHOFD15 OTHER EQUP/SUPPLIES-OTHR FEDRL AMT 15
5182 5185 OTHOPR15 OTHER EQUP/SUPPLY-OTH PRIVATE AMT 15
5186 5188 OTHOPU15 OTHER EQUP/SUPPLY - OTH PUBLIC AMT 15
5189 5192 OTHOSR15 OTH EQUP/SUPLY - OT UNCLASS SRCE AMT 15
5198 5201 OTHOTH15 OTHER EQUP/SUPPLY - OTH COMBINED AMT 15
5161 5165 OTHPRV15 OTHER EQUP/SUPPLIES-PRIV INS AMT 15
5193 5197 OTHPTR15 OTHER EQUP/SUPPLY - PRV & TRI AMT 15
976 977 OTHRCP42 AC19 IS PROVIDER SOME OTHER RACE-R4/2
952 953 OTHREA42 AC08 OTH REAS NO USC: OTHER REASON-R4/2
1553 1558 OTHRP15X PERSON'S OTHER INCOME
5146 5150 OTHSLF15 OTHER EQUP/SUPPLIES-SELF/FAM AMT 15
5176 5178 OTHSTL15 OTHER EQUP/SUPPLY-OTHR ST/LOCAL AMT 15
5136 5140 OTHTCH15 OTHER EQUP/SUPPLIES CHARGES 15
DATE: July 24, 2017
5170 5173 OTHTRI15 OTHER EQUP/SUPPLY-TRICARE AMT 15

5166 5169 OTHVA15 OTHER EQUP/SUPPLY-VA/CHAMPVA AMT 15
5179 5181 OTHWCP15 OTHER EQUP/SUPPLY - WORKERS COMP AMT 15
2378 2379 OTPAAT15 CV OT GOV MCD/CHIP HMO-R5/3 TIL 12/31/15
2372 2373 OTPAAT31 COV OT GOV MCD/CHIP HMO-ANY TIME IN R3/1
2386 2387 OTPBAT15 CV OTGV NT MCD/CHP HMO-R5/3 TIL 12/31/15
2380 2381 OTPBAT31 CV OTGV NT MCD/CHIP HMO-ANY TIME IN R3/1
2394 2395 OTPUBA15 COV/PAY OTH GOV MCAID/SCHIP HMO-12/31/15
2388 2389 OTPUBA31 COV/PAY OTH GOV MCAID/SCHIP HMO-R3/1 INT
2392 2393 OTPUBA53 COV/PAY OTH GOV MCAID/SCHIP HMO 12-31/R3
2402 2403 OTPUBB15 COV OTH GOV NOT MCAID/SCHIP HMO-12/31/15
2396 2397 OTPUBB31 COV OTH GOV NOT MCAID/SCHIP HMO-R3/1 INT
2400 2401 OTPUBB53 COV OTH GOV NOT MCAID/SCHIP HMO 12-31/R3
974 975 PACISP42 AC19 IS PROVIDER OTH PACIFIC ISLNDR-R4/2
17 18 PANEL PANEL NUMBER
679 680 PAPSMR53 HOW LNG LST PAP SMEAR TST (>17) - RD 5/3
1207 1208 PAYDR31 PAID LEAVE TO VISIT DR RD 3/1 CMJ
1369 1370 PAYDR31H PAID LEAVE TO VISIT DR RD 3/1 CMJ (IMP)
1195 1196 PAYVAC31 PAID VACATION AT RD 3/1 CMJ
778 782 PCS42 SAQ:PHY COMPONENT SUMMRY SF-12V2 IMPUTED
1813 1814 PDKAP15 COVR BY PRIV INS (SOURCE UNKNWN) APR15
1821 1822 PDKAU15 COVR BY PRIV INS (SOURCE UNKNWN) AUG15
1829 1830 PDKDE15 COVR BY PRIV INS (SOURCE UNKNWN) DEC15
1809 1810 PDKFE15 COVR BY PRIV INS (SOURCE UNKNWN) FEB15
1807 1808 PDKJA15 COVR BY PRIV INS (SOURCE UNKNWN) JAN15
1819 1820 PDKJL15 COVR BY PRIV INS (SOURCE UNKNWN) JUL15
1817 1818 PDKJU15 COVR BY PRIV INS (SOURCE UNKNWN) JUN15
1811 1812 PDKMA15 COVR BY PRIV INS (SOURCE UNKNWN) MAR15
1815 1816 PDKMY15 COVR BY PRIV INS (SOURCE UNKNWN) MAY15
1827 1828 PDKNO15 COVR BY PRIV INS (SOURCE UNKNWN) NOV15
1825 1826 PDKOC15 COVR BY PRIV INS (SOURCE UNKNWN) OCT15
1823 1824 PDKSE15 COVR BY PRIV INS (SOURCE UNKNWN) SEP15
DATE: July 24, 2017
1789 1790 PEGAP15 COVERED BY EMPL UNION INS IN APR15

1797 1798 PEGAU15 COVERED BY EMPL UNION INS IN AUG15
1805 1806 PEGDE15 COVERED BY EMPL UNION INS IN DEC15
1785 1786 PEGFE15 COVERED BY EMPL UNION INS IN FEB15
1783 1784 PEGJA15 COVERED BY EMPL UNION INS IN JAN15
1795 1796 PEGJL15 COVERED BY EMPL UNION INS IN JUL15
1793 1794 PEGJU15 COVERED BY EMPL UNION INS IN JUN15
1787 1788 PEGMA15 COVERED BY EMPL UNION INS IN MAR15
1791 1792 PEGMY15 COVERED BY EMPL UNION INS IN MAY15
1803 1804 PEGNO15 COVERED BY EMPL UNION INS IN NOV15
1801 1802 PEGOC15 COVERED BY EMPL UNION INS IN OCT15
1799 1800 PEGSE15 COVERED BY EMPL UNION INS IN SEP15
1495 1495 PENIMP15 PENSION INCOME IMPUTATION FLAG
1489 1494 PENSP15X PERSON'S PENSION INCOME
918 919 PERSLA42 AC08 OTH REAS NO USC: LANGUAGE-R4/2
5284 5295 PERWT15F FINAL PERSON WEIGHT, 2015
988 989 PHNREG42 AC23 HOW DIFF CONTACT USC BY PHONE-R4/2
808 809 PHQ242 SAQ 2 WKS: OVERALL RATING OF FEELINGS
697 698 PHYEXE53 MOD/VIG PHYS EXEC 5X WK (>17) - RD 5/3
627 628 PHYSCL42 DR ADVISE EXERCISE (2-17)-R4/2
6 8 PID PERSON NUMBER
956 957 PLCTYP42 USC TYPE OF PLACE-R4/2
2542 2543 PMDINS15 PMED INS - R5/R3 UNTIL 12/31/15
2540 2541 PMDINS31 PMED INS - RD 3/1 IN 2015
1024 1025 PMDLAY42 DELAYED IN GETTING NECSRY PRES MED-R4/2
1026 1027 PMDLRS42 AC54 RSN DLAYD GETTING NEC PRES MED-R4/2
2534 2535 PMEDIN31 PMED INS - ANY TIME IN RD 3/1
2536 2537 PMEDIN42 PMEDINS - ANY TIME IN RD 4/2
2550 2551 PMEDPY31 USUAL 3RD PARTY PAYER FOR PMEDS - R3/1
2544 2545 PMEDUP31 HAS USUAL 3RD PARTY PAYER FOR PMEDS-R3/1
1020 1021 PMUNAB42 UNABLE TO GET NECESSARY PRES MED-R4/2
1022 1023 PMUNRS42 AC50 RSN UNABLE TO GET NEC PRES MED-R4/2
1837 1838 PNGAP15 COVERED BY NONGROUP INS IN APR15
1845 1846 PNGAU15 COVERED BY NONGROUP INS IN AUG15
1853 1854 PNGDE15 COVERED BY NONGROUP INS IN DEC15
1833 1834 PNGFE15 COVERED BY NONGROUP INS IN FEB15
1831 1832 PNGJA15 COVERED BY NONGROUP INS IN JAN15
1843 1844 PNGJL15 COVERED BY NONGROUP INS IN JUL15
1841 1842 PNGJU15 COVERED BY NONGROUP INS IN JUN15
DATE: July 24, 2017
1835 1836 PNGMA15 COVERED BY NONGROUP INS IN MAR15

1839 1840 PNGMY15 COVERED BY NONGROUP INS IN MAY15
1851 1852 PNGNO15 COVERED BY NONGROUP INS IN NOV15
1849 1850 PNGOC15 COVERED BY NONGROUP INS IN OCT15
1847 1848 PNGSE15 COVERED BY NONGROUP INS IN SEP15
1861 1862 POGAP15 COVERED BY OTHER GROUP INS IN APR15
1869 1870 POGAU15 COVERED BY OTHER GROUP INS IN AUG15
1877 1878 POGDE15 COVERED BY OTHER GROUP INS IN DEC15
1857 1858 POGFE15 COVERED BY OTHER GROUP INS IN FEB15
1855 1856 POGJA15 COVERED BY OTHER GROUP INS IN JAN15
1867 1868 POGJL15 COVERED BY OTHER GROUP INS IN JUL15
1865 1866 POGJU15 COVERED BY OTHER GROUP INS IN JUN15
1859 1860 POGMA15 COVERED BY OTHER GROUP INS IN MAR15
1863 1864 POGMY15 COVERED BY OTHER GROUP INS IN MAY15
1875 1876 POGNO15 COVERED BY OTHER GROUP INS IN NOV15
1873 1874 POGOC15 COVERED BY OTHER GROUP INS IN OCT15
1871 1872 POGSE15 COVERED BY OTHER GROUP INS IN SEP15
1909 1910 POUAP15 COVERED BY HOLDER OUTSIDE OF RU IN APR15
1917 1918 POUAU15 COVERED BY HOLDER OUTSIDE OF RU IN AUG15
1925 1926 POUDE15 COVERED BY HOLDER OUTSIDE OF RU IN DEC15
1905 1906 POUFE15 COVERED BY HOLDER OUTSIDE OF RU IN FEB15
1903 1904 POUJA15 COVERED BY HOLDER OUTSIDE OF RU IN JAN15
1915 1916 POUJL15 COVERED BY HOLDER OUTSIDE OF RU IN JUL15
1913 1914 POUJU15 COVERED BY HOLDER OUTSIDE OF RU IN JUN15
1907 1908 POUMA15 COVERED BY HOLDER OUTSIDE OF RU IN MAR15
1911 1912 POUMY15 COVERED BY HOLDER OUTSIDE OF RU IN MAY15
1923 1924 POUNO15 COVERED BY HOLDER OUTSIDE OF RU IN NOV15
1921 1922 POUOC15 COVERED BY HOLDER OUTSIDE OF RU IN OCT15
1919 1920 POUSE15 COVERED BY HOLDER OUTSIDE OF RU IN SEP15
1432 1432 POVCAT15 FAMILY INC AS % OF POVERTY LINE - CATEGO
1433 1443 POVLEV15 FAMILY INC AS % OF POVERTY LINE - CONTIN
413 414 PREGNT31 PREGNANT DURING REF PERIOD - RD 3/1
2266 2267 PREVCOVR PER COV BY INS IN PREV 2 YRS-PNL 20 ONLY
982 983 PREVEN42 AC22 GO TO USC FOR PRVNTVE HLT CARE-R4/2
1957 1958 PRIAP15 COVERED BY PRIVATE INS IN APR15
1965 1966 PRIAU15 COVERED BY PRIVATE INS IN AUG15
1973 1974 PRIDE15 COVERED BY PRIVATE INS IN DEC15
2410 2411 PRIDK15 COV BY PRIV INS (DK PLAN) - 12/31/15
2404 2405 PRIDK31 COV BY PRIV INS (DK PLAN) - R3/1 INT
2408 2409 PRIDK53 COV BY PRIV INS (DK PLAN) 12-31/R3 INT
2418 2419 PRIEU15 COV BY EMPL/UNION GRP INS - 12/31/15
DATE: July 24, 2017
2412 2413 PRIEU31 COV BY EMPL/UNION GRP INS - R3/1 INT DT

2416 2417 PRIEU53 COV BY EMPL/UNION GRP INS 12-31/R3 INT
1953 1954 PRIFE15 COVERED BY PRIVATE INS IN FEB15
1951 1952 PRIJA15 COVERED BY PRIVATE INS IN JAN15
1963 1964 PRIJL15 COVERED BY PRIVATE INS IN JUL15
1961 1962 PRIJU15 COVERED BY PRIVATE INS IN JUN15
1955 1956 PRIMA15 COVERED BY PRIVATE INS IN MAR15
1959 1960 PRIMY15 COVERED BY PRIVATE INS IN MAY15
2426 2427 PRING15 COV BY NON-GROUP INS - 12/31/15
2420 2421 PRING31 COV BY NON-GROUP INS - R3/1 INT DT
2424 2425 PRING53 COV BY NON-GROUP INS 12-31/R3 INT DT
1971 1972 PRINO15 COVERED BY PRIVATE INS IN NOV15
1969 1970 PRIOC15 COVERED BY PRIVATE INS IN OCT15
2434 2435 PRIOG15 COV BY OTHER GROUP INS - 12/31/15
2428 2429 PRIOG31 COV BY OTHER GROUP INS - R3/1 INT DT
2432 2433 PRIOG53 COV BY OTHER GROUP INS 12-31/R3 INT DT
2442 2443 PRIS15 COV BY SELF-EMP-1 INS - 12/31/15
2436 2437 PRIS31 COV BY SELF-EMP-1 INS - R3/1 INT DT
2440 2441 PRIS53 COV BY SELF-EMP-1 INS 12-31/R3 INT DT
1967 1968 PRISE15 COVERED BY PRIVATE INS IN SEP15
2466 2467 PRIV15 COV BY PRIV HLTH INS - 12/31/15
2460 2461 PRIV31 COV BY PRIV HLTH INS - R3/1 INT DATE
2464 2465 PRIV53 COV BY PRIV HLTH INS 12-31/R3 INT DATE
2474 2475 PRIVAT15 COV BY PRIVATE INS - R5/3 UNTIL 12/31/15
2468 2469 PRIVAT31 COV BY PRIVATE INS - ANY TIME IN R3/1
2260 2261 PROBPY42 FAMILY HAVING PROB PAYING MEDICAL BILLS
2450 2451 PROUT15 COV BY SOMEONE OUT OF RU - 12/31/15
2444 2445 PROUT31 COV BY SOMEONE OUT OF RU - R3/1 INT
2448 2449 PROUT53 COV BY SOMEONE OUT OF RU 12-31/R3 INT DT
954 955 PROVTY42 PROVIDER TYPE-R4/2
103 103 PROXY15 WAS RESPONDENT A PROXY AS OF 12/31/15
97 98 PROXY31 WAS RESPONDENT A PROXY IN R3/1
1885 1886 PRSAP15 COVERED BY SELF-EMP-1 INS IN APR15
1893 1894 PRSAU15 COVERED BY SELF-EMP-1 INS IN AUG15
DATE: July 24, 2017
1901 1902 PRSDE15 COVERED BY SELF-EMP-1 INS IN DEC15

1881 1882 PRSFE15 COVERED BY SELF-EMP-1 INS IN FEB15
1879 1880 PRSJA15 COVERED BY SELF-EMP-1 INS IN JAN15
1891 1892 PRSJL15 COVERED BY SELF-EMP-1 INS IN JUL15
1889 1890 PRSJU15 COVERED BY SELF-EMP-1 INS IN JUN15
1883 1884 PRSMA15 COVERED BY SELF-EMP-1 INS IN MAR15
1887 1888 PRSMY15 COVERED BY SELF-EMP-1 INS IN MAY15
1899 1900 PRSNO15 COVERED BY SELF-EMP-1 INS IN NOV15
1897 1898 PRSOC15 COVERED BY SELF-EMP-1 INS IN OCT15
1895 1896 PRSSE15 COVERED BY SELF-EMP-1 INS IN SEP15
2458 2459 PRSTX15 PRIV EXCHANGE INSURANCE ON 12/31/15
2452 2453 PRSTX31 COV BY PRIV EXCHANGE INS -R3/1 INT DT
2456 2457 PRSTX53 PRIV EXCHANGE INS ON 12-31 R5/R3 INT DT
2167 2167 PRVEV15 EVER HAVE PRIVATE INSURANCE DURING 2015
2246 2247 PRVHMO15 COVERED BY PRIVATE HMO-R5/3 TIL 12/31/15
2242 2243 PRVHMO31 COVERED BY PRIVATE HMO-ANY TIME IN R3/1
1002 1003 PRVSPK42 AC31 PROV SPEAKS PERSON'S LANGUAGE-R4/2
1933 1934 PRXAP15 COV BY PRIV INS THROUGH EXCHNG IN APR15
1941 1942 PRXAU15 COV BY PRIV INS THROUGH EXCHNG IN AUG15
1949 1950 PRXDE15 COV BY PRIV INS THROUGH EXCHNG IN DEC15
1929 1930 PRXFE15 COV BY PRIV INS THROUGH EXCHNG IN FEB15
1927 1928 PRXJA15 COV BY PRIV INS THROUGH EXCHNG IN JAN15
1939 1940 PRXJL15 COV BY PRIV INS THROUGH EXCHNG IN JUL15
1937 1938 PRXJU15 COV BY PRIV INS THROUGH EXCHNG IN JUN15
1931 1932 PRXMA15 COV BY PRIV INS THROUGH EXCHNG IN MAR15
1935 1936 PRXMY15 COV BY PRIV INS THROUGH EXCHNG IN MAY15
1947 1948 PRXNO15 COV BY PRIV INS THROUGH EXCHNG IN NOV15
1945 1946 PRXOC15 COV BY PRIV INS THROUGH EXCHNG IN OCT15
1943 1944 PRXSE15 COV BY PRIV INS THROUGH EXCHNG IN SEP15
675 676 PSA53 HOW LONG SINCE LAST PSA (>39) - RD 5/3
159 160 PSTATS31 PERSON DISPOSITION STATUS - R3/1
2482 2483 PUB15X COV BY PUBLIC INS - 12/31/15 (ED)
2476 2477 PUB31X COV BY PUBLIC INS - R3/1 INT DT (ED)
2480 2481 PUB53X COV BY PUBLIC INS 12-31/R3 INT DT (ED)
1765 1766 PUBAP15X COVR BY ANY PUBLIC INS IN APR15 (ED)
2490 2491 PUBAT15X COV BY PUBLIC - R5/3 UNTIL 12/31/15
2484 2485 PUBAT31X COV BY PUBLIC - ANY TIME IN R3/1
DATE: July 24, 2017
1773 1774 PUBAU15X COVR BY ANY PUBLIC INS IN AUG15 (ED)

1781 1782 PUBDE15X COVR BY ANY PUBLIC INS IN DEC15 (ED)
1761 1762 PUBFE15X COVR BY ANY PUBLIC INS IN FEB15 (ED)
1552 1552 PUBIMP15 PUBLIC ASSISTANCE IMPUTATION FLAG
1759 1760 PUBJA15X COVR BY ANY PUBLIC INS IN JAN15 (ED)
1771 1772 PUBJL15X COVR BY ANY PUBLIC INS IN JUL15 (ED)
1769 1770 PUBJU15X COVR BY ANY PUBLIC INS IN JUN15 (ED)
1763 1764 PUBMA15X COVR BY ANY PUBLIC INS IN MAR15 (ED)
1767 1768 PUBMY15X COVR BY ANY PUBLIC INS IN MAY15 (ED)
1779 1780 PUBNO15X COVR BY ANY PUBLIC INS IN NOV15 (ED)
1777 1778 PUBOC15X COVR BY ANY PUBLIC INS IN OCT15 (ED)
1548 1551 PUBP15X PERSON'S PUBLIC ASSISTANCE
1775 1776 PUBSE15X COVR BY ANY PUBLIC INS IN SEP15 (ED)
2264 2265 PYUNBL42 UNABLE TO PAY FAMILY MEDICAL BILLS
1357 1358 PYVAC31H PAID VACATION AT RD 3/1 CMJ (IMP)
191 191 RACEAX ASIAN AMONG RACES RPTD (EDITED/IMPUTED)
192 192 RACEBX BLACK AMONG RACES RPTD (EDITED/IMPUTED)
194 194 RACETHX RACE/ETHNICITY (EDITED/IMPUTED)
188 188 RACEV1X RACE (EDITED/IMPUTED)
193 193 RACEWX WHITE AMONG RACES RPTD (EDITED/IMPUTED)
459 460 RCHDIF31 DIFFICULTY REACHING OVERHEAD - RD 3/1
984 985 REFFRL42 AC22 GO TO USC FOR REFERRALS-R4/2
90 92 REFPRS15 REFERENCE PERSON AS OF 12/31/15
81 83 REFPRS31 REFERENCE PERSON AT - R3/1
259 260 REFRL15X RELATION TO REF PERS-12/31/15 (EDIT/IMP)
253 254 REFRL31X RELATION TO REF PERS- R3/1 (EDIT/IMP)
79 80 REGION15 CENSUS REGION AS OF 12/31/15
73 74 REGION31 CENSUS REGION - R3/1
96 96 RESP15 1ST RESPONDENT INDICATOR AS OF 12/31/15
93 93 RESP31 1ST RESPONDENT INDICATOR FOR R3/1
996 997 RESPCT42 AC27 PROV SHOWS RESPECT FOR TRTMNTS-R4/2
1213 1214 RETPLN31 PENSION PLAN AT RD 3/1 CMJ
DATE: July 24, 2017

1028 1029 RNDFLG31 DATA COLLECTION ROUND FOR RD 3/1 CMJ
289 290 RTHLTH31 PERCEIVED HEALTH STATUS - RD 3/1
1375 1376 RTPLN31H PENSION PLAN AT RD 3/1 CMJ (IMP)
57 57 RUCLAS15 RU FIELDED AS:STANDARD/NEW/STUD-12/31/15
51 52 RUCLAS31 RU FIELDED AS:STANDARD/NEW/STUDENT-R3/1
41 42 RULETR15 RU LETTER AS OF 12/31/15
35 36 RULETR31 RU LETTER - R3/1
165 166 RURSLT31 RU RESULT - R3/1
49 50 RUSIZE15 RU SIZE AS OF 12/31/15
43 44 RUSIZE31 RU SIZE - R3/1
5205 5210 RXEXP15 TOTAL RX-EXP 15
5222 5226 RXMCD15 TOTAL RX-MEDICAID AMT 15
5216 5221 RXMCR15 TOTAL RX-MEDICARE AMT 15
5243 5247 RXOFD15 TOTAL RX-OTHER FED AMT 15
5258 5262 RXOPR15 TOTAL RX-OTH PRIVATE AMT 15
5263 5267 RXOPU15 TOTAL RX-OTH PUBLIC AMT 15
5268 5272 RXOSR15 TOT RX-OTH UNCLASS SRCE AMT 15
5279 5283 RXOTH15 TOTAL RX-OTH COMBINED AMT 15
5227 5232 RXPRV15 TOTAL RX-PRIVATE INS AMT 15
5273 5278 RXPTR15 TOTAL RX-PRV & TRI AMT 15
5211 5215 RXSLF15 TOTAL RX-SELF/FAMILY AMT 15
5248 5252 RXSTL15 TOTAL RX-OTHER ST/LOCAL AMT 15
5202 5204 RXTOT15 # PRESC MEDS INCL REFILLS 15
5238 5242 RXTRI15 TOTAL RX-TRICARE AMT 15
5233 5237 RXVA15 TOTAL RX-VA/CHAMPVA AMT 15
5253 5257 RXWCP15 TOTAL RX-WORKERS COMP AMT 15
631 632 SAFEST42 DR ADVISE CHLD SAFETY SEAT (WT<=40)-R4/2
1481 1487 SALEP15X PERSON'S SALES INCOME
1488 1488 SALIMP15 SALES INCOME IMPUTATION FLAG
706 706 SAQELIG ELIGIBILITY STATUS FOR SAQ
DATE: July 24, 2017
5320 5332 SAQWT15F FINAL SAQ PERSON WEIGHT, 2015

553 554 SCHLBH42 PROBLEM BEHAVIOR AT SCHOOL (5-17)-R4/2
479 480 SCHLIM31 SCHOOL LIMITATION - RD 3/1
567 568 SCHPRO42 PROBLEM WITH SCHOOLWORK (5-17)-R4/2
1363 1364 SCPAY31H PAID SICK LEAVE AT RD 3/1 CMJ (IMP)
704 705 SEATBE53 WEARS SEAT BELT (>15) - RD 5/3
910 911 SELDSI42 AC08 OTH REAS NO USC:SELDM/NEV SICK-R4/2
1110 1111 SELFCM31 SELF-EMPLOYED AT RD 3/1 CMJ
187 187 SEX SEX
788 789 SFFLAG42 SAQ: PCS/MCS IMPUTATION FLAG SF-12V2
695 696 SGMTRE53 RSN HAVE SIGMOIDOSCOPY (>39)-R5/3
693 694 SGMTST53 MOST RECENT SIGMOIDOSCOPY (>39) - R5/3
561 562 SIBPRO42 PRBLM GETTING ALONG W/SIBS (5-17)-R4/2
1201 1202 SICPAY31 PAID SICK LEAVE AT RD 3/1 CMJ
1261 1262 SLFCM31H SELF-EMPLOYED AT RD 3/1 CMJ (IMP)
487 488 SOCLIM31 SOCIAL LIMITATIONS - RD 3/1
214 216 SPOUID15 SPOUSE ID - 12/31/15
205 207 SPOUID31 SPOUSE ID - R3/1
223 224 SPOUIN15 MARITAL STATUS W/SPOUSE PRESENT-12/31/15
217 218 SPOUIN31 MARITAL STATUS W/SPOUSE PRESENT-R3/1
565 566 SPRPRO42 PROBLEM W/SPORTS/HOBBIES (5-17)-R4/2
1501 1501 SSCIMP15 SOCIAL SECURITY INCOME IMPUTATION FLAG
1496 1500 SSECP15X PERSON'S SOCIAL SECURITY INCOME
1547 1547 SSIIMP15 SSI IMPUTATION FLAG
1542 1546 SSIP15X PERSON'S SSI
1104 1105 SSNLJB31 IS CMJ A SEASONAL JOB RD 3/1
1741 1742 STAAP15 COVERED BY OTHER STATE PROG IN APR15
1749 1750 STAAU15 COVERED BY OTHER STATE PROG IN AUG15
DATE: July 24, 2017
1757 1758 STADE15 COVERED BY OTHER STATE PROG IN DEC15

1737 1738 STAFE15 COVERED BY OTHER STATE PROG IN FEB15
1735 1736 STAJA15 COVERED BY OTHER STATE PROG IN JAN15
1747 1748 STAJL15 COVERED BY OTHER STATE PROG IN JUL15
1745 1746 STAJU15 COVERED BY OTHER STATE PROG IN JUN15
1739 1740 STAMA15 COVERED BY OTHER STATE PROG IN MAR15
1743 1744 STAMY15 COVERED BY OTHER STATE PROG IN MAY15
1755 1756 STANO15 COVERED BY OTHER STATE PROG IN NOV15
1753 1754 STAOC15 COVERED BY OTHER STATE PROG IN OCT15
2514 2515 STAPR15 COV BY STATE-SPEC PROG - 12/31/15
2508 2509 STAPR31 COV BY STATE-SPEC PROG - R3/1 INT DT
2512 2513 STAPR53 COV BY STATE-SPEC PROG 12-31/R3 INT DT
1751 1752 STASE15 COVERED BY OTHER STATE PROG IN SEP15
1169 1170 STJBMM31 MONTH STARTED RD 3/1 CMJ
1171 1174 STJBYY31 YEAR STARTED RD 3/1 CMJ
451 452 STNDIF31 DIFFICULTY STANDING 20 MINUTES - RD 3/1
671 672 STOMCH53 TKE ASPRN UNSAFE B/C STOMCH (>17)-RD 5/3
439 440 STPDIF31 DIFFICULTY WALKING UP 10 STEPS - RD 3/1
2522 2523 STPRAT15 COV BY STATE INS - R5/3 UNTIL 12/31/15
2516 2517 STPRAT31 COVERAGE BY STATE INS - ANY TIME IN R3/1
325 326 STRKAGED AGE OF DIAGNOSIS-STROKE
323 324 STRKDX STROKE DIAGNOSIS (>17)
1404 1405 TAXFRM15 TAX FORM PERSON WILL FILE
1098 1099 TEMPJB31 IS CMJ A TEMPORARY JOB RD 3/1
651 652 TIMALN42 DOCTOR SPEND ANY TIME ALONE (12-17)-R4/2
958 959 TMTKUS42 AC13 HOW LONG IT TAKES GET TO USC-R4/2
2563 2568 TOTEXP15 TOTAL HEALTH CARE EXP 15
2580 2585 TOTMCD15 TOTAL AMT PAID BY MEDICAID 15
2574 2579 TOTMCR15 TOTAL AMT PAID BY MEDICARE 15
2603 2607 TOTOFD15 TOTAL AMT PAID BY OTHER FEDERAL 15
2620 2625 TOTOPR15 TOTAL AMT PAID BY OTHER PRIVATE 15
2626 2630 TOTOPU15 TOTAL AMT PAID BY OTHER PUBLIC 15
2631 2636 TOTOSR15 TOTAL AMT PAID BY OTHER SOURCES 15
DATE: July 24, 2017
2643 2648 TOTOTH15 TOTAL AMT PAID BY OTH COMBINED 15

2586 2591 TOTPRV15 TOTAL AMT PAID BY PRIVATE INS 15
2637 2642 TOTPTR15 TOTAL AMT PAID BY PRV & TRI 15
2569 2573 TOTSLF15 TOTAL AMT PAID BY SELF/FAMILY 15
2608 2613 TOTSTL15 TOTAL AMT PAID BY OTH ST/LOCAL 15
2556 2562 TOTTCH15 TOTAL HEALTH CARE CHARGES 15, EXCL RX
2598 2602 TOTTRI15 TOTAL AMT PAID BY TRICARE 15
2592 2597 TOTVA15 TOTAL AMT PAID BY VA/CHAMPVA 15
2614 2619 TOTWCP15 TOTAL AMT PAID BY WORKERS COMP 15
948 949 TRANS42 AC08 OTH REAS NO USC: TRANSPRT/TIME-R4/2
571 572 TRBLE42 PRBLM STAY OUT OF TROUBLE (5-17)-R4/2
994 995 TREATM42 AC26 PROV ASK ABOUT OTH TREATMENTS-R4/2
1573 1574 TRIAP15X COVERED BY TRICARE/CHAMPVA IN APR15(ED)
2330 2331 TRIAT15X COV TRICARE/CHAMPVA-R5/3 UNTIL 12/31/15
2324 2325 TRIAT31X COV TRICARE/CHAMPVA - ANY TIME IN R3/1
1581 1582 TRIAU15X COVERED BY TRICARE/CHAMPVA IN AUG15 (ED)
2204 2205 TRICH15X COVERED BY CHAMPVA - R5/3 UNTIL 12/31/15
2200 2201 TRICH31X COVERED BY CHAMPVA - ANY TIME IN R3/1
2322 2323 TRICR15X COV BY TRICR/CHAMV - 12/31/15 (ED)
2316 2317 TRICR31X COV BY TRICR/CHAMV - R3/1 INT DT (ED)
2320 2321 TRICR53X COV BY TRICR/CHAMV 12-31/R3 INT DT (ED)
1589 1590 TRIDE15X COVERED BY TRICARE/CHAMPVA IN DEC15 (ED)
2168 2168 TRIEV15 EVER HAVE TRICARE/CHAMPVA DURING 2015
2192 2193 TRIEX15X COV BY TRICARE EXTRA - R5/3 TIL 12/31/15
2188 2189 TRIEX31X COV BY TRICARE EXTRA - ANY TIME IN R3/1
1569 1570 TRIFE15X COVERED BY TRICARE/CHAMPVA IN FEB15 (ED)
1567 1568 TRIJA15X COVERED BY TRICARE/CHAMPVA IN JAN15 (ED)
1579 1580 TRIJL15X COVERED BY TRICARE/CHAMPVA IN JUL15 (ED)
1577 1578 TRIJU15X COVERED BY TRICARE/CHAMPVA IN JUN15 (ED)
2198 2199 TRILI15X CV BY TRICARE FOR LIFE-R5/3 TIL 12/31/15
2194 2195 TRILI31X COV BY TRICARE FOR LIFE-ANY TIME IN R3/1
1571 1572 TRIMA15X COVERED BY TRICARE/CHAMPVA IN MAR15 (ED)
1575 1576 TRIMY15X COVERED BY TRICARE/CHAMPVA IN MAY15 (ED)
1587 1588 TRINO15X COVERED BY TRICARE/CHAMPVA IN NOV15 (ED)
1585 1586 TRIOC15X COVERED BY TRICARE/CHAMPVA IN OCT15 (ED)
2186 2187 TRIPR15X COV BY TRICARE PRIME-R5/3 UNTIL 12/31/15
2182 2183 TRIPR31X COV BY TRICARE PRIME - ANY TIME IN R3/1
DATE: July 24, 2017
1583 1584 TRISE15X COVERED BY TRICARE/CHAMPVA IN SEP15 (ED)

2180 2181 TRIST15X CV BY TRICARE STANDARD-R5/3 TIL 12/31/15
2176 2177 TRIST31X COV BY TRICARE STANDARD-ANY TIME IN R3/1
1502 1508 TRSTP15X PERSON'S TRUST/RENT INCOME
1509 1509 TRTIMP15 TRUST INCOME IMPUTATION FLAG
1418 1424 TTLP15X PERSON'S TOTAL INCOME
960 961 TYPEPE42 USC TYPE OF PROVIDER-R4/2
483 484 UNABLE31 COMPLETELY UNABLE TO DO ACTIVITY-RD 3/1
1462 1462 UNEIMP15 UNEMPLOYMENT IMPUTATION FLAG
1458 1461 UNEMP15X PERSON'S UNEMPLOYMENT COMP INCOME
551 552 UNHAP42 PROBLEM FEELING UNHAPPY/SAD (5-17)-R4/2
2173 2173 UNINS15 UNINSURED ALL OF 2015
1149 1150 UNION31 UNION STATUS AT RD 3/1 CMJ
1309 1310 UNION31H UNION STATUS AT RD 3/1 CMJ (IMP)
916 917 USCNOT42 AC08 OTH REAS NO USC: USC NOT AVAIL-R4/2
5349 5349 VARPSU VARIANCE ESTIMATION PSU - 2015
5345 5348 VARSTR VARIANCE ESTIMATION STRATUM - 2015
1515 1515 VETIMP15 VETERAN'S INCOME IMPUTATION FLAG
1510 1514 VETSP15X PERSON'S VETERAN'S INCOME
5076 5079 VISEXP15 TOTAL GLASSES/CONTACT LENS EXP 15
5093 5096 VISMCD15 GLASSES/CNTCT LENSES-MEDICAID AMT 15
5089 5092 VISMCR15 GLASSES/CNTCT LENSES-MEDICARE AMT 15
5108 5110 VISOFD15 GLASSES/CNTCT LENSES-OTHR FED AMT 15
5117 5120 VISOPR15 GLASSES/CNTCT LENSES-OTH PRIVATE AMT 15
5121 5123 VISOPU15 GLASSES/CNTCT LENSES-OTH PUBLIC AMT 15
5124 5127 VISOSR15 GLASES/CNTCT LENSE-OT UNCLAS SRCE AMT 15
5132 5135 VISOTH15 GLASSES/CNTCT LENSES-OTH COMBINED AMT 15
5097 5100 VISPRV15 GLASSES/CNTCT LENSES-PRIV INS AMT 15
5128 5131 VISPTR15 GLASSES/CNTCT LENSES-PRV & TRI AMT 15
5085 5088 VISSLF15 GLASSES/CNTCT LENSES -SELF/FAM AMT 15
5111 5113 VISSTL15 GLASSES/CNTCT LENSES-OTH ST/LOCL AMT 15
5080 5084 VISTCH15 GLASSES/CONTACT LENSES CHARGES 15
5105 5107 VISTRI15 GLASSES/LENSES-TRICARE AMT 15
5101 5104 VISVA15 GLASSES/CNTCT LENSES-VA/CHAMPVA AMT 15
5114 5116 VISWCP15 GLASSES/CNTCT LENSES-WORKERS COMP AMT 15
1444 1449 WAGEP15X PERSON'S WAGE INCOME
1450 1450 WAGIMP15 WAGE IMPUTATION FLAG
2288 2289 WASAFDC WAS PREV INS BY PUBLIC AFDC-PNL 20 ONLY
DATE: July 24, 2017
2280 2281 WASCHAMP WAS PREV INS TRICARE/CHAMPVA-PNL 20 ONLY

2274 2275 WASESTB WAS PREV INS BY EMPL OR UNION-PN 20 ONLY
2278 2279 WASMCAID WAS PREV INS BY MCAID/SCHIP-PNL 20 ONLY
2276 2277 WASMCARE WAS PREV INS BY MEDICARE-PANEL 20 ONLY
2286 2287 WASOTGOV WAS PREV INS BY OTH GOV PRG-PNL 20 ONLY
2300 2301 WASOTHER WAS PREV INS BY OTH SOURCE-PANEL 20 ONLY
2284 2285 WASPRIV WAS PREV INS GRP/ASSOC/INS CO-PN 20 ONLY
2290 2291 WASSSI WAS PREV INS BY SSI PROGRAM-PNL 20 ONLY
2292 2293 WASSTAT1 WAS PREV INS BY STAT PROG 1-PNL 20 ONLY
2282 2283 WASVA WAS PREV INS VA/MILITAR CARE-PNL 20 ONLY
1463 1467 WCMPP15X PERSON'S WORKERS' COMPENSATION
1468 1468 WCPIMP15 WORKERS' COMP IMPUTATION FLAG
966 967 WHITPR42 AC19 IS PROVIDER WHITE-R4/2
617 618 WHNBPR42 WHEN DR CHECKED BLOOD PRESS (2-17)-R4/2
637 638 WHNBST42 WHN DR ADVISE BOOST SEAT(40<WT<=80)-R4/2
621 622 WHNDEN42 WHEN DR ADVISE DENT CHECKUP (2-17)-R4/2
625 626 WHNEAT42 WHEN DR ADVISE EAT HEALTHY (2-17)-R4/2
645 646 WHNHEL42 WHEN DR ADVISE BIKE HELMET (2-17)-R4/2
603 604 WHNHGT42 WHEN DOCTOR MEASURED HEIGHT (0-17)-R4/2
641 642 WHNLAP42 WHN DR ADVISE LAP/SHLDR BLT (80<WT)-R4/2
629 630 WHNPHY42 WHEN DR ADVISE EXERCISE (2-17)-R4/2
633 634 WHNSAF42 WHEN DR ADVISE SAFETY SEAT (WT<=40)-R4/2
649 650 WHNSMK42 WHN DR ADVIS SMKG IN HOME BAD(0-17)-R4/2
607 608 WHNWGT42 WHEN DOCTOR MEASURED WEIGHT (0-17)-R4/2
1385 1386 WILFIL15 WILL PERSON FILE FED INCOME TAX RETURN
443 444 WLKDIF31 DIFFICULTY WALKING 3 BLOCKS - RD 3/1
431 432 WLKLIM31 LIMITATION IN PHYSICAL FUNCTIONING-RD3/1
513 514 WRGLAS42 WEARS EYEGLASSES OR CONTACTS - RD 4/2
471 472 WRKLIM31 WORK LIMITATION - RD 3/1
1165 1166 YCHJ3142 WHY CHNGD JOB BETWEEN RD 3/1 AND RD 4/2
906 907 YNOUSC42 AC07 MAIN REAS PERS DOESNT HAVE USC-R4/2
269 270 YRSINUS YEARS PERSON LIVED IN THE US
4418 4421 ZIDEXP15 TOTAL ZERO-NITE STAZ DR 15
4434 4437 ZIDMCD15 ZERO-NITE IP STAZ-MEDICAID AMT-DR 15
4430 4433 ZIDMCR15 ZERO-NITE IP STAZ-MEDICARE AMT-DR 15
4445 4445 ZIDOFD15 ZERO-NITE IP STAZ-OTHER FED AMT-DR 15
4448 4450 ZIDOPR15 ZERO-NITE IP STAZ-OTH PRIVATE AMT-DR 15
DATE: July 24, 2017
4451 4451 ZIDOPU15 ZERO-NITE IP STAZ-OTH PUBLIC AMT-DR 15

4452 4452 ZIDOSR15 ZERO-NITE IP STAZ-UNCLAS SRCE AMT-DR 15
4457 4459 ZIDOTH15 ZERO-NITE IP STAZ-OTH COMBINED AMT-DR 15
4438 4441 ZIDPRV15 ZERO-NITE IP STAZ-PRIV INS AMT-DR 15
4453 4456 ZIDPTR15 ZERO-NITE IP STAZ-PRV & TRI AMT-DR 15
4427 4429 ZIDSLF15 ZERO-NITE IP STAZ-SELF/FAM AMT-DR 15
4446 4446 ZIDSTL15 ZERO-NITE IP STAZ-OTH ST/LOC AMT-DR 15
4422 4426 ZIDTCH15 ZERO-NITE IP STAY CHARGES - DR 15
4444 4444 ZIDTRI15 ZERO-NITE IP STAZ-TRICARE AMT-DR 15
4442 4443 ZIDVA15 ZERO-NITE IP STAZ-VA/CHAMPVA AMT-DR 15
4447 4447 ZIDWCP15 ZERO-NITE IP STAZ-WRKERS COMP AMT-DR 15
4361 4365 ZIFEXP15 TOTAL ZERO-NITE STAYS FAC EXP 15
4375 4379 ZIFMCD15 ZERO-NITE IP STAZ-MEDICAID AMT-FAC 15
4370 4374 ZIFMCR15 ZERO-NITE IP STAZ-MEDICARE AMT-FAC 15
4394 4397 ZIFOFD15 ZERO-NITE IP STAZ-OTHER FED AMT-FAC 15
4400 4403 ZIFOPR15 ZERO-NITE IP STAZ-OTH PRIVATE AMT-FAC 15
4404 4404 ZIFOPU15 ZERO-NITE IP STAZ-OTH PUBLIC AMT-FAC 15
4405 4408 ZIFOSR15 ZERO-NITE IP STAZ-UNCLAS SRCE AMT-FAC 15
4414 4417 ZIFOTH15 ZERO-NITE IP STAZ-OTH COMBINE AMT-FAC 15
4380 4384 ZIFPRV15 ZERO-NITE IP STAZ-PRIV INS AMT-FAC 15
4409 4413 ZIFPTR15 ZERO-NITE IP STAZ-PRV & TRI AMT-FAC 15
4366 4369 ZIFSLF15 ZERO-NITE IP STAZ-SELF/FAM AMT-FAC 15
4398 4398 ZIFSTL15 ZERO-NITE IP STAZ-OTH ST/LOC AMT-FAC 15
4356 4360 ZIFTCH15 ZERO-NITE IP STAY CHARGES - FAC 15
4390 4393 ZIFTRI15 ZERO-NITE IP STAZ-TRICARE AMT-FAC 15
4385 4389 ZIFVA15 ZERO-NITE IP STAZ-VA/CHAMPVA AMT-FAC 15
4399 4399 ZIFWCP15 ZERO-NITE IP STAZ-WRKERS COMP AMT-FAC 15
DATE: July 24, 2017
-----POSITIONAL LISTING OF VARIABLES-----
1 5 DUID DWELLING UNIT ID

6 8 PID PERSON NUMBER
9 16 DUPERSID PERSON ID (DUID + PID)
17 18 PANEL PANEL NUMBER
25 26 FAMID15 FAMILY ID (STUDENT MERGED IN) - 12/31/15
27 28 FAMIDYR ANNUAL FAMILY IDENTIFIER
29 30 CPSFAMID CPSFAMID
31 32 FCSZ1231 FAM SIZE RESPONDING 12/31 CPS FAMILY
33 34 FCRP1231 REF PERSON OF 12/31 CPS FAMILY
41 42 RULETR15 RU LETTER AS OF 12/31/15
49 50 RUSIZE15 RU SIZE AS OF 12/31/15
57 57 RUCLAS15 RU FIELDED AS:STANDARD/NEW/STUD-12/31/15
64 65 FAMSZE15 RU SIZE INCLUDING STUDENT AS OF 12/31/15
66 67 FMRS1231 MEMBER OF RESPONDING 12/31 FAMILY
68 69 FAMS1231 FAMILY SIZE OF RESPONDING 12/31 FAMILY
70 71 FAMSZEYR SIZE OF RESPONDING ANNUALIZED FAMILY
72 72 FAMRFPYR REFERENCE PERSON OF ANNUALIZED FAMILY
79 80 REGION15 CENSUS REGION AS OF 12/31/15
90 92 REFPRS15 REFERENCE PERSON AS OF 12/31/15
96 96 RESP15 1ST RESPONDENT INDICATOR AS OF 12/31/15
DATE: July 24, 2017

103 103 PROXY15 WAS RESPONDENT A PROXY AS OF 12/31/15
104 105 INTVLANG LANGUAGE INTERVIEW WAS COMPLETED
142 143 ENDRFM15 2015 REFERENCE PERIOD END DATE: MONTH
144 147 ENDRFY15 2015 REFERENCE PERIOD END DATE: YEAR
148 148 KEYNESS PERSON KEY STATUS
152 152 INSCOP15 INSCOPE - R5/3 START THROUGH 12/31/15
153 153 INSC1231 INSCOPE STATUS ON 12/31/15
154 154 INSCOPE WAS PERSON EVER INSCOPE IN 2015
158 158 ELGRND15 ELIGIBILITY STATUS AS OF 12/31/15
177 178 AGE15X AGE AS OF 12/31/15(EDITED/IMPUTED)
179 180 AGELAST PERSON'S AGE LAST TIME ELIGIBLE
181 182 DOBMM DATE OF BIRTH: MONTH
183 186 DOBYY DATE OF BIRTH: YEAR
187 187 SEX SEX
DATE: July 24, 2017

191 191 RACEAX ASIAN AMONG RACES RPTD (EDITED/IMPUTED)
192 192 RACEBX BLACK AMONG RACES RPTD (EDITED/IMPUTED)
193 193 RACEWX WHITE AMONG RACES RPTD (EDITED/IMPUTED)
194 194 RACETHX RACE/ETHNICITY (EDITED/IMPUTED)
195 195 HISPANX HISPANIC ETHNICITY (EDITED/IMPUTED)
196 196 HISPNCAT HISPANIC ETHNICITY (EDITED/IMPUTED)
203 204 MARRY15X MARITAL STATUS-12/31/15 (EDITED/IMPUTED)
214 216 SPOUID15 SPOUSE ID - 12/31/15
223 224 SPOUIN15 MARITAL STATUS W/SPOUSE PRESENT-12/31/15
225 226 EDUYRDG YEAR OF EDUCATION OR HIGHEST DEGREE
227 228 EDUCYR YEARS OF EDUC WHEN FIRST ENTERED MEPS
229 230 HIDEG HIGHEST DEGREE WHEN FIRST ENTERED MEPS
231 232 EDRECODE EDUCATION RECODE (EDITED)
239 240 FTSTU15X STUDENT STATUS IF AGES 17-23 - 12/31/15
259 260 REFRL15X RELATION TO REF PERS-12/31/15 (EDIT/IMP)
261 262 OTHLANG IN FAMILY WITH SOMEONE SPKNG OTHER LANG
263 264 LANGSPK LANGUAGE SPOKEN AT HOME OTHER THAN ENGL
265 266 HWELLSPE HOW WELL PERSON SPEAKS ENGLISH
267 268 BORNUSA PERSON BORN IN THE US
269 270 YRSINUS YEARS PERSON LIVED IN THE US
DATE: July 24, 2017

301 302 HIBPDX HIGH BLOOD PRESSURE DIAG (>17)
303 304 HIBPAGED AGE OF DIAGNOSIS-HIGH BLOOD PRESSURE
305 306 BPMLDX MULT DIAG HIGH BLOOD PRESS (>17)
307 308 CHDDX CORONARY HRT DISEASE DIAG (>17)
309 310 CHDAGED AGE OF DIAGNOSIS-CORONARY HEART DISEASE
311 312 ANGIDX ANGINA DIAGNOSIS (>17)
313 314 ANGIAGED AGE OF DIAGNOSIS-ANGINA
315 316 MIDX HEART ATTACK (MI) DIAG (>17)
317 318 MIAGED AGE OF DIAGNOSIS-HEART ATTACK(MI)
319 320 OHRTDX OTHER HEART DISEASE DIAG (>17)
321 322 OHRTAGED AGE OF DIAGNOSIS-OTHER HEART DISEASE
323 324 STRKDX STROKE DIAGNOSIS (>17)
325 326 STRKAGED AGE OF DIAGNOSIS-STROKE
327 328 EMPHDX EMPHYSEMA DIAGNOSIS (>17)
329 330 EMPHAGED AGE OF DIAGNOSIS-EMPHYSEMA
335 336 CHOLDX HIGH CHOLESTEROL DIAGNOSIS (>17)
337 338 CHOLAGED AGE OF DIAGNOSIS-HIGH CHOLESTEROL
339 340 CANCERDX CANCER DIAGNOSIS (>17)
341 342 CABLADDR CANCER DIAGNOSED - BLADDER (>17)
343 344 CABREAST CANCER DIAGNOSED - BREAST (>17)
345 346 CACERVIX CANCER DIAGNOSED - CERVIX (>17)
347 348 CACOLON CANCER DIAGNOSED - COLON (>17)
349 350 CALUNG CANCER DIAGNOSED - LUNG (>17)
351 352 CALYMPH CANCER DIAGNOSED - LYMPHOMA (>17)
353 354 CAMELANO CANCER DIAGNOSED - MELANOMA (>17)
355 356 CAOTHER CANCER DIAGNOSED - OTHER (>17)
357 358 CAPROSTA CANCER DIAGNOSED - PROSTATE (>17)
359 360 CASKINNM CANCER DIAGNOSED - SKIN-NONMELANO (>17)
361 362 CASKINDK CANCER DIAGNOSED-SKIN-UNKNOWN TYPE (>17)
363 364 CAUTERUS CANCER DIAGNOSED - UTERUS (>17)
365 366 DIABDX DIABETES DIAGNOSIS (>17)
DATE: July 24, 2017
367 368 DIABAGED AGE OF DIAGNOSIS-DIABETES

373 374 ARTHDX ARTHRITIS DIAGNOSIS (>17)
375 376 ARTHTYPE TYPE OF ARTHRITIS DIAGNOSED (>17)
377 378 ARTHAGED AGE OF DIAGNOSIS-ARTHRITIS
379 380 ASTHDX ASTHMA DIAGNOSIS
381 382 ASTHAGED AGE OF DIAGNOSIS-ASTHMA
383 384 ASSTIL31 DOES PERSON STILL HAVE ASTHMA-RD3/1
385 386 ASSTIL53 DOES PERSON STILL HAVE ASTHMA - RD 5/3
387 388 ASATAK31 ASTHMA ATTACK LAST 12 MOS - RD3/1
389 390 ASATAK53 ASTHMA ATTACK LAST 12 MOS - RD 5/3
395 396 ASACUT53 USED ACUTE PRES INHALER LAST 3 MOS-RD5/3
397 398 ASMRCN53 USED>3ACUTE CN PRES INH LAST 3 MOS-RD5/3
399 400 ASPREV53 EVER USED PREV DAILY ASTHMA MEDS -RD 5/3
401 402 ASDALY53 NOW TAKE PREV DAILY ASTHMA MEDS - RD 5/3
403 404 ASPKFL53 HAVE PEAK FLOW METER AT HOME - RD 5/3
405 406 ASEVFL53 EVER USED PEAK FLOW METER - RD 5/3
407 408 ASWNFL53 WHEN LAST USED PEAK FLOW METER - RD 5/3
409 410 ADHDADDX ADHDADD DIAGNOSIS (5-17)
411 412 ADHDAGED AGE OF DIAGNOSIS-ADHD/ADD
DATE: July 24, 2017

495 496 DFHEAR42 SERIOUS DIFFICULTY HEARING-RD 4/2
497 498 DEAF42 PERSON IS DEAF - RD 4/2
499 500 DFSEE42 SERIOUS DIFFICULTY SEE W/GLASSES-RD 4/2
501 502 BLIND42 PERSON IS BLIND - RD 4/2
503 504 DFCOG42 SERIOUS COGNITIVE DIFFICULTIES-RD 4/2
505 506 DFWLKC42 SERIOUS DIFCULTY WLK/CLIMB STAIRS-RD 4/2
507 508 DFDRSB42 DIFFICULTY DRESSING/BATHING-RD 4/2
509 510 DFERND42 DIFFICULTY DOING ERRANDS ALONE-RD 4/2
511 512 HEARAD42 PERSON WEARS HEARING AID - RD 4/2
513 514 WRGLAS42 WEARS EYEGLASSES OR CONTACTS - RD 4/2
515 516 ANYLMT15 ANY LIMITATION IN P19R3,4,5/P20R1,2,3
517 518 CHPMED42 CSHCN:CHILD NEEDS PRESCRB MED(0-17)-R4/2
519 520 CHPMHB42 CSHCN:PMED FOR HLTH/BEHV COND(0-17)-R4/2
521 522 CHPMCN42 CSHCN:PMED COND LAST 12+ MOS (0-17)-R4/2
523 524 CHSERV42 CSHCN:CHLD NEEDS MED&OTH SERV(0-17)-R4/2
525 526 CHSRHB42 CSHCN:SERV FOR HLTH/BEHV COND(0-17)-R4/2
527 528 CHSRCN42 CSHCN:SERV COND LAST 12+ MOS (0-17)-R4/2
529 530 CHLIMI42 CSHCN:LIMITED IN ANY WAY (0-17)-R4/2
531 532 CHLIHB42 CSHCN:LIMT FOR HLTH/BEHV COND(0-17)-R4/2
533 534 CHLICO42 CSHCN:LIMIT COND LAST 12+MOS (0-17)-R4/2
535 536 CHTHER42 CSHCN:CHLD NEEDS SPEC THERAPY(0-17)-R4/2
537 538 CHTHHB42 CSHCN:SPEC THER FOR HLTH+COND(0-17)-R4/2
539 540 CHTHCO42 CSHCN:THER COND LAST 12+ MOS (0-17)-R4/2
541 542 CHCOUN42 CSHCN:CHILD NEEDS COUNSELING (0-17)-R4/2
DATE: July 24, 2017
543 544 CHEMPB42 CSHCN:COUNS PROB LAST 12+MOS (0-17)-R4/2

545 546 CSHCN42 CSHCN:CHILD W/SPEC HC NEEDS (0-17)-R4/2
547 548 MOMPRO42 PROBLEM GETTING ALONG W/MOM (5-17)-R4/2
549 550 DADPRO42 PROBLEM GETTING ALONG W/DAD (5-17)-R4/2
551 552 UNHAP42 PROBLEM FEELING UNHAPPY/SAD (5-17)-R4/2
553 554 SCHLBH42 PROBLEM BEHAVIOR AT SCHOOL (5-17)-R4/2
555 556 HAVFUN42 PROBLEM HAVING FUN (5-17) - R4/2
557 558 ADUPRO42 PRBLM GETTING ALONG W/ADULTS (5-17)-R4/2
559 560 NERVAF42 PRBLM FEELING NERVOUS/AFRAID (5-17)-R4/2
561 562 SIBPRO42 PRBLM GETTING ALONG W/SIBS (5-17)-R4/2
563 564 KIDPRO42 PRBLM GETTING ALONG W/KIDS (5-17)-R4/2
565 566 SPRPRO42 PROBLEM W/SPORTS/HOBBIES (5-17)-R4/2
567 568 SCHPRO42 PROBLEM WITH SCHOOLWORK (5-17)-R4/2
569 570 HOMEBH42 PROBLEM W/BEHAVIOR AT HOME (5-17)-R4/2
571 572 TRBLE42 PRBLM STAY OUT OF TROUBLE (5-17)-R4/2
573 574 CHILCR42 CAHPS:12MOS:ILL/INJ NEED CARE(0-17)-R4/2
575 576 CHILWW42 CAHPS:12MOS:ILL CARE WHN WNTD(0-17)-R4/2
577 578 CHRTCR42 CAHPS:12MOS:MAKE ROUT CARE APT(0-17)R4/2
579 580 CHRTWW42 CAHPS:12MOS:ROUT APT WHN WNTD(0-17)-R4/2
581 582 CHAPPT42 CAHPS:12MOS:# OF OFF/CLIN APTS(0-17)R4/2
583 584 CHNDCR42 CAHPS:12MOS:NEED ANY CARE/TRT(0-17)-R4/2
585 586 CHENEC42 CAHPS:12MOS:EASY GET NEC CARE (0-17)R4/2
587 588 CHLIST42 CAHPS:12MOS:CHLD DR LSN TO YOU(0-17)R4/2
589 590 CHEXPL42 CAHPS:12MOS:CHLD DR EXPL THNG(0-17)R4/2
591 592 CHRESP42 CAHPS:12MOS:CHLD'S DR SHW RESP(0-17)R4/2
593 594 CHPRTM42 CAHPS:12MOS:CHILD DR ENGH TIME(0-17)R4/2
595 596 CHHECR42 CAHPS:12MOS:RATE CHLD HLT CARE(0-17)R4/2
597 598 CHSPEC42 CAHPS:12MOS:CHLD NEEDED SPEC(0-17)R4/2
599 600 CHEYRE42 CAHPS:12MOS:ESY W/RFR TO SPEC(0-17)-R4/2
601 602 MESHGT42 DOCTOR EVER MEASURED HEIGHT (0-17)-R4/2
603 604 WHNHGT42 WHEN DOCTOR MEASURED HEIGHT (0-17)-R4/2
605 606 MESWGT42 DOCTOR EVER MEASURED WEIGHT (0-17)-R4/2
607 608 WHNWGT42 WHEN DOCTOR MEASURED WEIGHT (0-17)-R4/2
609 612 CHBMIX42 CHILD'S BODY MASS INDEX (6-17)-R4/2
613 614 MESVIS42 DOCTOR CHECKED CHILD'S VISION (3-6)-R4/2
615 616 MESBPR42 DR CHECKED BLOOD PRESSURE (2-17)-R4/2
617 618 WHNBPR42 WHEN DR CHECKED BLOOD PRESS (2-17)-R4/2
619 620 DENTAL42 DR ADVISE REG DENTAL CHECKUP (2-17)-R4/2
621 622 WHNDEN42 WHEN DR ADVISE DENT CHECKUP (2-17)-R4/2
623 624 EATHLT42 DR ADVISE EAT HEALTHY (2-17)-R4/2
625 626 WHNEAT42 WHEN DR ADVISE EAT HEALTHY (2-17)-R4/2
627 628 PHYSCL42 DR ADVISE EXERCISE (2-17)-R4/2
629 630 WHNPHY42 WHEN DR ADVISE EXERCISE (2-17)-R4/2
631 632 SAFEST42 DR ADVISE CHLD SAFETY SEAT (WT<=40)-R4/2
DATE: July 24, 2017
633 634 WHNSAF42 WHEN DR ADVISE SAFETY SEAT (WT<=40)-R4/2

635 636 BOOST42 DR ADVISE BOOSTER SEAT (40<WT<=80)-R4/2
637 638 WHNBST42 WHN DR ADVISE BOOST SEAT(40<WT<=80)-R4/2
639 640 LAPBLT42 DR ADVISE LAP/SHOULDER BELT (80<WT)-R4/2
641 642 WHNLAP42 WHN DR ADVISE LAP/SHLDR BLT (80<WT)-R4/2
643 644 HELMET42 DR ADVISE BIKE HELMET (2-17)-R4/2
645 646 WHNHEL42 WHEN DR ADVISE BIKE HELMET (2-17)-R4/2
647 648 NOSMOK42 DR ADVISE SMKG IN HOME IS BAD(0-17)-R4/2
649 650 WHNSMK42 WHN DR ADVIS SMKG IN HOME BAD(0-17)-R4/2
651 652 TIMALN42 DOCTOR SPEND ANY TIME ALONE (12-17)-R4/2
653 654 DENTCK53 HOW OFTEN DENTAL CHECK-UP - RD 5/3
655 656 BPCHEK53 TIME SNCE LST BLOOD PRES CHK (>17)-RD5/3
657 658 CHOLCK53 HOW LNG CHOLEST LST CHCK (>17) - RD 5/3
659 660 CHECK53 HOW LNG LST ROUTNE CHECKUP (>17)-RD 5/3
661 662 NOFAT53 RESTRICT HGH FAT/CHOLES FOOD (>17)-RD5/3
663 664 EXRCIS53 ADVISED TO EXERCISE MORE (>17) - RD 5/3
665 666 FLUSHT53 HOW LNG LAST FLU VACINATION (>17)-RD 5/3
667 668 ASPRIN53 TKE ASPIRN EVERY (OTHR) DAY (>17)-RD 5/3
669 670 NOASPR53 TAKING ASPIRIN UNSAFE (>17) - RD 5/3
671 672 STOMCH53 TKE ASPRN UNSAFE B/C STOMCH (>17)-RD 5/3
673 674 LSTETH53 LOST ALL UPPR AND LOWR TEETH (>17)-RD5/3
675 676 PSA53 HOW LONG SINCE LAST PSA (>39) - RD 5/3
677 678 HYSTER53 HAD A HYSTERECTOMY (>17) - RD 5/3
679 680 PAPSMR53 HOW LNG LST PAP SMEAR TST (>17) - RD 5/3
681 682 BRSTEX53 HOW LNG SNCE LST BREAST EXAM (>17)-RD5/3
683 684 MAMOGR53 HOW LNG SNCE LST MAMMOGRAM (>29) - RD5/3
685 686 BSTST53 MST RCNT BLD STOOL TST HME KIT(>39)-R5/3
687 688 BSTSRE53 RSN HAVE BLD STOOL TST (>39)-R5/3
689 690 CLNTST53 MOST RECENT COLONOSCOPY (>39) - R5/3
691 692 CLNTRE53 RSN HAVE COLONOSCOPY (>39)-R5/3
693 694 SGMTST53 MOST RECENT SIGMOIDOSCOPY (>39) - R5/3
695 696 SGMTRE53 RSN HAVE SIGMOIDOSCOPY (>39)-R5/3
697 698 PHYEXE53 MOD/VIG PHYS EXEC 5X WK (>17) - RD 5/3
699 703 BMINDX53 ADULT BODY MASS INDEX (>17) - RD 5/3
704 705 SEATBE53 WEARS SEAT BELT (>15) - RD 5/3
706 706 SAQELIG ELIGIBILITY STATUS FOR SAQ
707 709 ADPRXY42 SAQ: RELATIONSHIP OF PROXY TO ADULT
710 711 ADILCR42 SAQ 12MOS: ILL/INJURY NEEDING IMMED CARE
712 713 ADILWW42 SAQ 12 MOS: GOT CARE WHEN NEEDED ILL/INJ
714 715 ADRTCR42 SAQ 12 MOS: MADE APPT ROUTINE MED CARE
716 717 ADRTWW42 SAQ 12 MOS: GOT MED APPT WHEN WANTED
718 719 ADAPPT42 SAQ 12 MOS: # VISITS TO MED OFF FOR CARE
720 721 ADNDCR42 SAQ 12MOS: NEED ANY CARE, TEST, TREATMNT
722 723 ADEGMC42 SAQ 12MOS: EASY GETTING NEEDED MED CARE
DATE: July 24, 2017
724 725 ADLIST42 SAQ 12 MOS: DOCTOR LISTENED TO YOU

726 727 ADEXPL42 SAQ 12 MOS: DOC EXPLAINED SO UNDERSTOOD
728 729 ADRESP42 SAQ 12 MOS: DR SHOWED RESPECT
730 731 ADPRTM42 SAQ 12 MOS: DR SPENT ENUF TIME WITH YOU
732 733 ADINST42 SAQ 12 MOS: DR GAVE SPCIFC INSTRCTNS
734 735 ADEZUN42 SAQ 12 MOS: DR GIVEN INSTR. EZ UNDRSTD
736 737 ADTLHW42 SAQ 12 MOS: DR ASKED R DESC HOW FOLLOW
738 739 ADFFRM42 SAQ 12 MOS: HAD TO FILL OUT/SIGN FORMS
740 741 ADFHLP42 SAQ 12 MOS: OFFRD HELP FILLING OUT FORMS
742 743 ADHECR42 SAQ 12 MOS: RATING OF HEALTH CARE
744 745 ADSMOK42 SAQ: CURRENTLY SMOKE
746 747 ADNSMK42 SAQ 12MOS: DR ADVISED TO QUIT SMOKING
748 749 ADDRBP42 SAQ 2 YRS: DR CHECKED BLOOD PRESSURE
750 751 ADSPEC42 SAQ 12 MOS: NEEDED TO SEE SPECIALIST
752 753 ADESSP42 SAQ 12MOS: HOW ESY TO SEE SPECIALIST
754 755 ADGENH42 SAQ: HEALTH IN GENERAL SF-12V2
756 757 ADDAYA42 SAQ: HLTH LIMITS MOD ACTIVITIES SF-12V2
758 759 ADCLIM42 SAQ: HLTH LIMITS CLIMBING STAIRS SF-12V2
760 761 ADPALS42 SAQ 4WKS:ACCMP LESS B/C PHY PRBS SF-12V2
762 763 ADPWLM42 SAQ 4WKS:WORK LIMT B/C PHY PROBS SF-12V2
764 765 ADMALS42 SAQ 4WKS:ACCMP LESS B/C MNT PRBS SF-12V2
766 767 ADMWLM42 SAQ 4WKS:WORK LIMT B/C MNT PROBS SF-12V2
768 769 ADPAIN42 SAQ 4WKS:PAIN LIMITS NORMAL WORK SF-12V2
770 771 ADCAPE42 SAQ 4WKS: FELT CALM/PEACEFUL SF-12V2
772 773 ADNRGY42 SAQ 4WKS: HAD A LOT OF ENERGY SF-12V2
774 775 ADDOWN42 SAQ 4WKS: FELT DOWNHEARTED/DEPR SF-12V2
776 777 ADSOCA42 SAQ 4WKS: HLTH STOPPED SOC ACTIV SF-12V2
778 782 PCS42 SAQ:PHY COMPONENT SUMMRY SF-12V2 IMPUTED
783 787 MCS42 SAQ:MNT COMPONENT SUMMRY SF-12V2 IMPUTED
788 789 SFFLAG42 SAQ: PCS/MCS IMPUTATION FLAG SF-12V2
790 791 ADNERV42 SAQ 30 DAYS: HOW OFTEN FELT NERVOUS
792 793 ADHOPE42 SAQ 30 DAYS: HOW OFTEN FELT HOPELESS
794 795 ADREST42 SAQ 30 DAYS: HOW OFTEN FELT RESTLESS
796 797 ADSAD42 SAQ 30 DAYS: HOW OFTEN FELT SAD
798 799 ADEFRT42 SAQ 30 DAYS: HOW OFTN EVRYTHNG AN EFFORT
800 801 ADWRTH42 SAQ 30 DAYS: HOW OFTEN FELT WORTHLESS
802 803 K6SUM42 SAQ 30 DAYS: OVERALL RATING OF FEELINGS
804 805 ADINTR42 SAQ 2 WKS: LITTLE INTEREST IN THINGS
806 807 ADDPRS42 SAQ 2 WKS: FELT DOWN/DEPRESSED/HOPELESS
808 809 PHQ242 SAQ 2 WKS: OVERALL RATING OF FEELINGS
810 811 ADINSA42 SAQ: DO NOT NEED HEALTH INSURANCE
812 813 ADINSB42 SAQ: HEALTH INSURANCE NOT WORTH COST
814 815 ADRISK42 SAQ: MORE LIKELY TO TAKE RISKS
816 817 ADOVER42 SAQ: CAN OVERCOME ILLS WITHOUT MED HELP
DATE: July 24, 2017
818 819 ADCMPM42 SAQ: DATE COMPLETED - MONTH

820 823 ADCMPY42 SAQ: DATE COMPLETED - YEAR
824 825 ADLANG42 SAQ: LANGUAGE OF SAQ INTERVIEW
826 827 DSDIA53 DCS: DIABETES DIAGNOSIS BY HEALTH PROF
828 829 DSA1C53 DCS: TIMES TESTED FOR A-ONE-C IN 2015
836 837 DSFB1453 DCS: HAD FEET CHECKED BEFORE 2014
838 839 DSFTNV53 DCS: NEVER HAD FEET CHECKED
846 847 DSEB1453 DCS: DILATED EYE EXAM BEFORE 2014
848 849 DSEYNV53 DCS: NEVER HAD DILATED EYE EXAM
856 857 DSCB1453 DCS: BLOOD CHOLESTEROL CHECKED BEF 2014
858 859 DSCHNV53 DCS: NEVER HAD BLOOD CHOLESTEROL CHECKED
866 867 DSVB1453 DCS: GOT FLU VACCINATION BEFORE 2014
868 869 DSFLNV53 DCS: NEVER GOT FLU VACCINATION
870 871 DSKIDN53 DCS: HAS DIABETES CAUSED KIDNEY PROBLEMS
872 873 DSEYPR53 DCS: HAS DIABETES CAUSED EYE PROBS
874 875 DSDIET53 DCS: TREAT DIABETES W/DIET MODIFICATION
876 877 DSMED53 DCS: TREAT DIABETES W/MEDS BY MOUTH
878 879 DSINSU53 DCS: TREAT DIABETES W/INSULIN INJECTIONS
880 881 DSCPCP53 DCS: LEARNED CARE FROM PRIMARY CARE PROV
882 883 DSCNPC53 DCS: LEARNED CARE FROM OTHER PROVIDER
884 885 DSCPHN53 DCS: LEARN CARE FROM PHONE CALL W/PROV
886 887 DSCINT53 DCS: LEARNED CARE FROM READING INTERNET
888 889 DSCGRP53 DCS: LEARNED CARE BY TAKING GROUP CLASS
890 891 DSCONF53 DCS: CONFIDENT TAKING CARE OF DIABETES
892 893 DSPRX53 DCS: WAS RESPONDENT A PROXY
894 895 DDNWRK15 # DAYS MISSED WORK DUE TO ILL/INJ 2015
896 897 DDNSCL15 # DAYS MISSD SCHOOL DUE TO ILL/INJ 2015
898 899 OTHDYS15 MISS ANY WORK DAY TO CARE FOR OTH 2015
900 901 OTHNDD15 # DAY MISSED WORK TO CARE FOR OTH 2015
902 903 ACCELI42 PERS ELIGIBLE FOR ACCESS SUPPLEMENT-R4/2
904 905 HAVEUS42 AC05 DOES PERSON HAVE USC PROVIDER-R4/2
906 907 YNOUSC42 AC07 MAIN REAS PERS DOESNT HAVE USC-R4/2
DATE: July 24, 2017
908 909 NOREAS42 AC08 OTH REAS NO USC:NO OTH REASONS-R4/2

910 911 SELDSI42 AC08 OTH REAS NO USC:SELDM/NEV SICK-R4/2
912 913 NEWARE42 AC08 OTH REAS NO USC:RECENTLY MOVED-R4/2
914 915 DKWHRU42 AC08 OTH REAS NO USC:DK WHERE TO GO-R4/2
916 917 USCNOT42 AC08 OTH REAS NO USC: USC NOT AVAIL-R4/2
918 919 PERSLA42 AC08 OTH REAS NO USC: LANGUAGE-R4/2
920 921 DIFFPL42 AC08 OTH REAS NO USC:DIFFRNT PLACES-R4/2
922 923 INSRPL42 AC08 OTH REAS NO USC:JUST CHNGD INS-R4/2
924 925 MYSELF42 AC08 OTH REAS NO USC:NO DOC/TRT SLF-R4/2
926 927 CARECO42 AC08 OTH REAS NO USC:COST OF MED CR-R4/2
928 929 NOHINS42 AC08 OTH REAS NO USC:NO HLTH INSRNC-R4/2
930 931 OTHINS42 AC08 OTH REAS NO USC: INS RELATED-R4/2
932 933 JOBRSN42 AC08 OTH REAS NO USC: JOB RELATED-R4/2
934 935 NEWDOC42 AC08 OTH REAS NO USC: LOOKNG FOR DR-R4/2
936 937 DOCELS42 AC08 OTH REAS NO USC: DR ELSEWHERE-R4/2
938 939 NOLIKE42 AC08 OTH REAS NO USC: DONT LIKE DRS-R4/2
940 941 HEALTH42 AC08 OTH REAS NO USC: HLTH RELATED-R4/2
942 943 KNOWDR42 AC08 OTH REAS NO USC: KNOWS/IS A DR-R4/2
944 945 ONJOB42 AC08 OTH REAS NO USC: DR AT WORK-R4/2
946 947 NOGODR42 AC08 OTH REAS NO USC: WONT GO TO DR-R4/2
948 949 TRANS42 AC08 OTH REAS NO USC: TRANSPRT/TIME-R4/2
950 951 CLINIC42 AC08 OTH REAS NO USC: HOSP/ER/CLNIC-R4/2
952 953 OTHREA42 AC08 OTH REAS NO USC: OTHER REASON-R4/2
954 955 PROVTY42 PROVIDER TYPE-R4/2
956 957 PLCTYP42 USC TYPE OF PLACE-R4/2
958 959 TMTKUS42 AC13 HOW LONG IT TAKES GET TO USC-R4/2
960 961 TYPEPE42 USC TYPE OF PROVIDER-R4/2
962 963 LOCATN42 USC LOCATION-R4/2
964 965 HSPLAP42 AC18 IS PROVIDER HISPANIC OR LATINO-R4/2
966 967 WHITPR42 AC19 IS PROVIDER WHITE-R4/2
968 969 BLCKPR42 AC19 IS PROVIDER BLACK/AFRICAN AMER-R4/2
970 971 ASIANP42 AC19 IS PROVIDER ASIAN-R4/2
972 973 NATAMP42 AC19 IS PROVIDER NATIVE AMERICAN-R4/2
974 975 PACISP42 AC19 IS PROVIDER OTH PACIFIC ISLNDR-R4/2
976 977 OTHRCP42 AC19 IS PROVIDER SOME OTHER RACE-R4/2
978 979 GENDRP42 AC20 IS PROVIDER MALE OR FEMALE-R4/2
980 981 MINORP42 AC22 GO TO USC FOR NEW HEALTH PROB-R4/2
982 983 PREVEN42 AC22 GO TO USC FOR PRVNTVE HLT CARE-R4/2
984 985 REFFRL42 AC22 GO TO USC FOR REFERRALS-R4/2
986 987 ONGONG42 AC22 GO TO USC FOR ONGOING HLTH PRB-R4/2
988 989 PHNREG42 AC23 HOW DIFF CONTACT USC BY PHONE-R4/2
990 991 OFFHOU42 AC24 USC HAS OFFCE HRS NGHTS/WKENDS-R4/2
992 993 AFTHOU42 AC25 HOW DIFF CONTACT USC AFT HOURS-R4/2
994 995 TREATM42 AC26 PROV ASK ABOUT OTH TREATMENTS-R4/2
DATE: July 24, 2017
996 997 RESPCT42 AC27 PROV SHOWS RESPECT FOR TRTMNTS-R4/2

998 999 DECIDE42 AC28 PROV ASKS PERS TO HELP DECIDE-R4/2
1000 1001 EXPLOP42 AC30 PROV EXPLNS OPTIONS TO PERS-R4/2
1002 1003 PRVSPK42 AC31 PROV SPEAKS PERSON'S LANGUAGE-R4/2
1004 1005 MDUNAB42 UNABLE TO GET NECESSRY MEDICAL CARE-R4/2
1006 1007 MDUNRS42 AC34 RSN UNABLE GET NECSRY MED CARE-R4/2
1008 1009 MDDLAY42 DELAYED IN GETTING NECSRY MED CARE-R4/2
1010 1011 MDDLRS42 AC38 RSN DLAYD GETTING NEC MED CARE-R4/2
1012 1013 DNUNAB42 UNABLE TO GET NECESSARY DENTAL CARE-R4/2
1014 1015 DNUNRS42 AC42 RSN UNABLE GET NCSRY DENT CARE-R4/2
1016 1017 DNDLAY42 DELAYED IN GETTING NEC DENTAL CARE-R4/2
1018 1019 DNDLRS42 AC46 RSN DLAYD GETTNG NEC DENT CARE-R4/2
1020 1021 PMUNAB42 UNABLE TO GET NECESSARY PRES MED-R4/2
1022 1023 PMUNRS42 AC50 RSN UNABLE TO GET NEC PRES MED-R4/2
1024 1025 PMDLAY42 DELAYED IN GETTING NECSRY PRES MED-R4/2
1026 1027 PMDLRS42 AC54 RSN DLAYD GETTING NEC PRES MED-R4/2
1028 1029 RNDFLG31 DATA COLLECTION ROUND FOR RD 3/1 CMJ
1036 1037 EVRWRK EVER WRKD FOR PAY IN LIFE AS OF 12/31/15
DATE: July 24, 2017

1187 1188 EVRETIRE PERSON HAS EVER RETIRED
DATE: July 24, 2017

DATE: July 24, 2017

1381 1382 AFDC15 DID PERSON'S CHECK INCLUDE TANF
1383 1384 FILEDR15 HAS PERSON FILED A FED INCOME TAX RETURN
1385 1386 WILFIL15 WILL PERSON FILE FED INCOME TAX RETURN
1387 1388 FLSTAT15 PERSON'S FILING STATUS
1389 1390 FILER15 PRIMARY OR SECONDARY FILER
1391 1392 JTINRU15 JOINT FILER'S MEMBERSHIP IN RU
1393 1395 JNTPID15 PID OF SECONDARY FILER
1396 1397 CLMDEP15 DID/WILL PERS CLAIM DEPENDENTS ON RETURN
1398 1399 DEPDNT15 PERSON IS FLAGGED A DEPENDENT
DATE: July 24, 2017
1400 1401 DPINRU15 DEPENDENTS IN/OUT OF RU

1402 1403 DPOTSD15 HOW MANY DEPENDENTS LIVE OUTSIDE RU
1404 1405 TAXFRM15 TAX FORM PERSON WILL FILE
1406 1407 CLMHIP15 DID/WILL PERS DEDUCT HEALTH INSUR. PREM.
1408 1409 EICRDT15 DID/WILL PERS RECEIVE EARNED INC CREDIT
1410 1411 FOODST15 DID ANYONE PURCHASE FOOD STAMPS
1412 1413 FOODMN15 NUMBER OF MONTHS FOOD STAMPS PURCHASED
1414 1417 FOODVL15 MONTHLY VALUE OF FOOD STAMPS
1418 1424 TTLP15X PERSON'S TOTAL INCOME
1425 1431 FAMINC15 FAMILY'S TOTAL INCOME
1432 1432 POVCAT15 FAMILY INC AS % OF POVERTY LINE - CATEGO
1433 1443 POVLEV15 FAMILY INC AS % OF POVERTY LINE - CONTIN
1444 1449 WAGEP15X PERSON'S WAGE INCOME
1450 1450 WAGIMP15 WAGE IMPUTATION FLAG
1451 1456 BUSNP15X PERSON'S BUSINESS INCOME
1457 1457 BUSIMP15 BUSINESS INCOME IMPUTATION FLAG
1458 1461 UNEMP15X PERSON'S UNEMPLOYMENT COMP INCOME
1462 1462 UNEIMP15 UNEMPLOYMENT IMPUTATION FLAG
1463 1467 WCMPP15X PERSON'S WORKERS' COMPENSATION
1468 1468 WCPIMP15 WORKERS' COMP IMPUTATION FLAG
1469 1473 INTRP15X PERSON'S INTEREST INCOME
1474 1474 INTIMP15 INTEREST INCOME IMPUTATION FLAG
1475 1479 DIVDP15X PERSON'S DIVIDEND INCOME
1480 1480 DIVIMP15 DIVIDEND INCOME IMPUTATION FLAG
1481 1487 SALEP15X PERSON'S SALES INCOME
1488 1488 SALIMP15 SALES INCOME IMPUTATION FLAG
1489 1494 PENSP15X PERSON'S PENSION INCOME
1495 1495 PENIMP15 PENSION INCOME IMPUTATION FLAG
1496 1500 SSECP15X PERSON'S SOCIAL SECURITY INCOME
1501 1501 SSCIMP15 SOCIAL SECURITY INCOME IMPUTATION FLAG
1502 1508 TRSTP15X PERSON'S TRUST/RENT INCOME
1509 1509 TRTIMP15 TRUST INCOME IMPUTATION FLAG
1510 1514 VETSP15X PERSON'S VETERAN'S INCOME
1515 1515 VETIMP15 VETERAN'S INCOME IMPUTATION FLAG
1516 1521 IRASP15X PERSON'S IRA INCOME
1522 1522 IRAIMP15 IRA INCOME IMPUTATION FLAG
1523 1527 ALIMP15X PERSON'S ALIMONY INCOME
1528 1528 ALIIMP15 ALIMONY INCOME IMPUTATION FLAG
1529 1533 CHLDP15X PERSON'S CHILD SUPPORT
1534 1534 CHLIMP15 CHILD SUPPORT IMPUTATION FLAG
1535 1540 CASHP15X PERSON'S OTHER REGULAR CASH CONTRIBUTION
1541 1541 CSHIMP15 CASH CONTRIBUTION IMPUTATION FLAG
1542 1546 SSIP15X PERSON'S SSI
1547 1547 SSIIMP15 SSI IMPUTATION FLAG
DATE: July 24, 2017
1548 1551 PUBP15X PERSON'S PUBLIC ASSISTANCE

1552 1552 PUBIMP15 PUBLIC ASSISTANCE IMPUTATION FLAG
1553 1558 OTHRP15X PERSON'S OTHER INCOME
1559 1559 OTHIMP15 OTHER INCOME IMPUTATION FLAG
1560 1566 HIEUIDX HIEU IDENTIFIER
1567 1568 TRIJA15X COVERED BY TRICARE/CHAMPVA IN JAN15 (ED)
1569 1570 TRIFE15X COVERED BY TRICARE/CHAMPVA IN FEB15 (ED)
1571 1572 TRIMA15X COVERED BY TRICARE/CHAMPVA IN MAR15 (ED)
1573 1574 TRIAP15X COVERED BY TRICARE/CHAMPVA IN APR15(ED)
1575 1576 TRIMY15X COVERED BY TRICARE/CHAMPVA IN MAY15 (ED)
1577 1578 TRIJU15X COVERED BY TRICARE/CHAMPVA IN JUN15 (ED)
1579 1580 TRIJL15X COVERED BY TRICARE/CHAMPVA IN JUL15 (ED)
1581 1582 TRIAU15X COVERED BY TRICARE/CHAMPVA IN AUG15 (ED)
1583 1584 TRISE15X COVERED BY TRICARE/CHAMPVA IN SEP15 (ED)
1585 1586 TRIOC15X COVERED BY TRICARE/CHAMPVA IN OCT15 (ED)
1587 1588 TRINO15X COVERED BY TRICARE/CHAMPVA IN NOV15 (ED)
1589 1590 TRIDE15X COVERED BY TRICARE/CHAMPVA IN DEC15 (ED)
1591 1592 MCRJA15 COVERED BY MEDICARE IN JAN15
1593 1594 MCRFE15 COVERED BY MEDICARE IN FEB15
1595 1596 MCRMA15 COVERED BY MEDICARE IN MAR15
1597 1598 MCRAP15 COVERED BY MEDICARE IN APR15
1599 1600 MCRMY15 COVERED BY MEDICARE IN MAY15
1601 1602 MCRJU15 COVERED BY MEDICARE IN JUN15
1603 1604 MCRJL15 COVERED BY MEDICARE IN JUL15
1605 1606 MCRAU15 COVERED BY MEDICARE IN AUG15
1607 1608 MCRSE15 COVERED BY MEDICARE IN SEP15
1609 1610 MCROC15 COVERED BY MEDICARE IN OCT15
1611 1612 MCRNO15 COVERED BY MEDICARE IN NOV15
1613 1614 MCRDE15 COVERED BY MEDICARE IN DEC15
1615 1616 MCRJA15X COVERED BY MEDICARE IN JAN15 (ED)
1617 1618 MCRFE15X COVERED BY MEDICARE IN FEB15 (ED)
1619 1620 MCRMA15X COVERED BY MEDICARE IN MAR15 (ED)
1621 1622 MCRAP15X COVERED BY MEDICARE IN APR15 (ED)
1623 1624 MCRMY15X COVERED BY MEDICARE IN MAY15 (ED)
1625 1626 MCRJU15X COVERED BY MEDICARE IN JUN15 (ED)
1627 1628 MCRJL15X COVERED BY MEDICARE IN JUL15 (ED)
1629 1630 MCRAU15X COVERED BY MEDICARE IN AUG15 (ED)
1631 1632 MCRSE15X COVERED BY MEDICARE IN SEP15 (ED)
1633 1634 MCROC15X COVERED BY MEDICARE IN OCT15 (ED)
1635 1636 MCRNO15X COVERED BY MEDICARE IN NOV15 (ED)
1637 1638 MCRDE15X COVERED BY MEDICARE IN DEC15 (ED)
1639 1640 MCDJA15 COV BY MEDICAID OR SCHIP IN JAN15
1641 1642 MCDFE15 COV BY MEDICAID OR SCHIP IN FEB15
1643 1644 MCDMA15 COV BY MEDICAID OR SCHIP IN MAR15
DATE: July 24, 2017
1645 1646 MCDAP15 COV BY MEDICAID OR SCHIP IN APR15

1647 1648 MCDMY15 COV BY MEDICAID OR SCHIP IN MAY15
1649 1650 MCDJU15 COV BY MEDICAID OR SCHIP IN JUN15
1651 1652 MCDJL15 COV BY MEDICAID OR SCHIP IN JUL15
1653 1654 MCDAU15 COV BY MEDICAID OR SCHIP IN AUG15
1655 1656 MCDSE15 COV BY MEDICAID OR SCHIP IN SEP15
1657 1658 MCDOC15 COV BY MEDICAID OR SCHIP IN OCT15
1659 1660 MCDNO15 COV BY MEDICAID OR SCHIP IN NOV15
1661 1662 MCDDE15 COV BY MEDICAID OR SCHIP IN DEC15
1663 1664 MCDJA15X COV BY MEDICAID OR SCHIP IN JAN15 (ED)
1665 1666 MCDFE15X COV BY MEDICAID OR SCHIP IN FEB15 (ED)
1667 1668 MCDMA15X COV BY MEDICAID OR SCHIP IN MAR15 (ED)
1669 1670 MCDAP15X COV BY MEDICAID OR SCHIP IN APR15 (ED)
1671 1672 MCDMY15X COV BY MEDICAID OR SCHIP IN MAY15 (ED)
1673 1674 MCDJU15X COV BY MEDICAID OR SCHIP IN JUN15 (ED)
1675 1676 MCDJL15X COV BY MEDICAID OR SCHIP IN JUL15 (ED)
1677 1678 MCDAU15X COV BY MEDICAID OR SCHIP IN AUG15 (ED)
1679 1680 MCDSE15X COV BY MEDICAID OR SCHIP IN SEP15 (ED)
1681 1682 MCDOC15X COV BY MEDICAID OR SCHIP IN OCT15 (ED)
1683 1684 MCDNO15X COV BY MEDICAID OR SCHIP IN NOV15 (ED)
1685 1686 MCDDE15X COV BY MEDICAID OR SCHIP IN DEC15 (ED)
1687 1688 OPAJA15 COV BY OTHER PUBLIC A INS IN JAN15
1689 1690 OPAFE15 COV BY OTHER PUBLIC A INS IN FEB15
1691 1692 OPAMA15 COV BY OTHER PUBLIC A INS IN MAR15
1693 1694 OPAAP15 COV BY OTHER PUBLIC A INS IN APR15
1695 1696 OPAMY15 COV BY OTHER PUBLIC A INS IN MAY15
1697 1698 OPAJU15 COV BY OTHER PUBLIC A INS IN JUN15
1699 1700 OPAJL15 COV BY OTHER PUBLIC A INS IN JUL15
1701 1702 OPAAU15 COV BY OTHER PUBLIC A INS IN AUG15
1703 1704 OPASE15 COV BY OTHER PUBLIC A INS IN SEP15
1705 1706 OPAOC15 COV BY OTHER PUBLIC A INS IN OCT15
1707 1708 OPANO15 COV BY OTHER PUBLIC A INS IN NOV15
1709 1710 OPADE15 COV BY OTHER PUBLIC A INS IN DEC15
1711 1712 OPBJA15 COV BY OTHER PUBLIC B INS IN JAN15
1713 1714 OPBFE15 COV BY OTHER PUBLIC B INS IN FEB15
1715 1716 OPBMA15 COV BY OTHER PUBLIC B INS IN MAR15
1717 1718 OPBAP15 COV BY OTHER PUBLIC B INS IN APR15
1719 1720 OPBMY15 COV BY OTHER PUBLIC B INS IN MAY15
1721 1722 OPBJU15 COV BY OTHER PUBLIC B INS IN JUN15
1723 1724 OPBJL15 COV BY OTHER PUBLIC B INS IN JUL15
1725 1726 OPBAU15 COV BY OTHER PUBLIC B INS IN AUG15
1727 1728 OPBSE15 COV BY OTHER PUBLIC B INS IN SEP15
1729 1730 OPBOC15 COV BY OTHER PUBLIC B INS IN OCT15
1731 1732 OPBNO15 COV BY OTHER PUBLIC B INS IN NOV15
DATE: July 24, 2017
1733 1734 OPBDE15 COV BY OTHER PUBLIC B INS IN DEC15

1735 1736 STAJA15 COVERED BY OTHER STATE PROG IN JAN15
1737 1738 STAFE15 COVERED BY OTHER STATE PROG IN FEB15
1739 1740 STAMA15 COVERED BY OTHER STATE PROG IN MAR15
1741 1742 STAAP15 COVERED BY OTHER STATE PROG IN APR15
1743 1744 STAMY15 COVERED BY OTHER STATE PROG IN MAY15
1745 1746 STAJU15 COVERED BY OTHER STATE PROG IN JUN15
1747 1748 STAJL15 COVERED BY OTHER STATE PROG IN JUL15
1749 1750 STAAU15 COVERED BY OTHER STATE PROG IN AUG15
1751 1752 STASE15 COVERED BY OTHER STATE PROG IN SEP15
1753 1754 STAOC15 COVERED BY OTHER STATE PROG IN OCT15
1755 1756 STANO15 COVERED BY OTHER STATE PROG IN NOV15
1757 1758 STADE15 COVERED BY OTHER STATE PROG IN DEC15
1759 1760 PUBJA15X COVR BY ANY PUBLIC INS IN JAN15 (ED)
1761 1762 PUBFE15X COVR BY ANY PUBLIC INS IN FEB15 (ED)
1763 1764 PUBMA15X COVR BY ANY PUBLIC INS IN MAR15 (ED)
1765 1766 PUBAP15X COVR BY ANY PUBLIC INS IN APR15 (ED)
1767 1768 PUBMY15X COVR BY ANY PUBLIC INS IN MAY15 (ED)
1769 1770 PUBJU15X COVR BY ANY PUBLIC INS IN JUN15 (ED)
1771 1772 PUBJL15X COVR BY ANY PUBLIC INS IN JUL15 (ED)
1773 1774 PUBAU15X COVR BY ANY PUBLIC INS IN AUG15 (ED)
1775 1776 PUBSE15X COVR BY ANY PUBLIC INS IN SEP15 (ED)
1777 1778 PUBOC15X COVR BY ANY PUBLIC INS IN OCT15 (ED)
1779 1780 PUBNO15X COVR BY ANY PUBLIC INS IN NOV15 (ED)
1781 1782 PUBDE15X COVR BY ANY PUBLIC INS IN DEC15 (ED)
1783 1784 PEGJA15 COVERED BY EMPL UNION INS IN JAN15
1785 1786 PEGFE15 COVERED BY EMPL UNION INS IN FEB15
1787 1788 PEGMA15 COVERED BY EMPL UNION INS IN MAR15
1789 1790 PEGAP15 COVERED BY EMPL UNION INS IN APR15
1791 1792 PEGMY15 COVERED BY EMPL UNION INS IN MAY15
1793 1794 PEGJU15 COVERED BY EMPL UNION INS IN JUN15
1795 1796 PEGJL15 COVERED BY EMPL UNION INS IN JUL15
1797 1798 PEGAU15 COVERED BY EMPL UNION INS IN AUG15
1799 1800 PEGSE15 COVERED BY EMPL UNION INS IN SEP15
1801 1802 PEGOC15 COVERED BY EMPL UNION INS IN OCT15
1803 1804 PEGNO15 COVERED BY EMPL UNION INS IN NOV15
1805 1806 PEGDE15 COVERED BY EMPL UNION INS IN DEC15
1807 1808 PDKJA15 COVR BY PRIV INS (SOURCE UNKNWN) JAN15
1809 1810 PDKFE15 COVR BY PRIV INS (SOURCE UNKNWN) FEB15
1811 1812 PDKMA15 COVR BY PRIV INS (SOURCE UNKNWN) MAR15
1813 1814 PDKAP15 COVR BY PRIV INS (SOURCE UNKNWN) APR15
1815 1816 PDKMY15 COVR BY PRIV INS (SOURCE UNKNWN) MAY15
1817 1818 PDKJU15 COVR BY PRIV INS (SOURCE UNKNWN) JUN15
1819 1820 PDKJL15 COVR BY PRIV INS (SOURCE UNKNWN) JUL15
DATE: July 24, 2017
1821 1822 PDKAU15 COVR BY PRIV INS (SOURCE UNKNWN) AUG15

1823 1824 PDKSE15 COVR BY PRIV INS (SOURCE UNKNWN) SEP15
1825 1826 PDKOC15 COVR BY PRIV INS (SOURCE UNKNWN) OCT15
1827 1828 PDKNO15 COVR BY PRIV INS (SOURCE UNKNWN) NOV15
1829 1830 PDKDE15 COVR BY PRIV INS (SOURCE UNKNWN) DEC15
1831 1832 PNGJA15 COVERED BY NONGROUP INS IN JAN15
1833 1834 PNGFE15 COVERED BY NONGROUP INS IN FEB15
1835 1836 PNGMA15 COVERED BY NONGROUP INS IN MAR15
1837 1838 PNGAP15 COVERED BY NONGROUP INS IN APR15
1839 1840 PNGMY15 COVERED BY NONGROUP INS IN MAY15
1841 1842 PNGJU15 COVERED BY NONGROUP INS IN JUN15
1843 1844 PNGJL15 COVERED BY NONGROUP INS IN JUL15
1845 1846 PNGAU15 COVERED BY NONGROUP INS IN AUG15
1847 1848 PNGSE15 COVERED BY NONGROUP INS IN SEP15
1849 1850 PNGOC15 COVERED BY NONGROUP INS IN OCT15
1851 1852 PNGNO15 COVERED BY NONGROUP INS IN NOV15
1853 1854 PNGDE15 COVERED BY NONGROUP INS IN DEC15
1855 1856 POGJA15 COVERED BY OTHER GROUP INS IN JAN15
1857 1858 POGFE15 COVERED BY OTHER GROUP INS IN FEB15
1859 1860 POGMA15 COVERED BY OTHER GROUP INS IN MAR15
1861 1862 POGAP15 COVERED BY OTHER GROUP INS IN APR15
1863 1864 POGMY15 COVERED BY OTHER GROUP INS IN MAY15
1865 1866 POGJU15 COVERED BY OTHER GROUP INS IN JUN15
1867 1868 POGJL15 COVERED BY OTHER GROUP INS IN JUL15
1869 1870 POGAU15 COVERED BY OTHER GROUP INS IN AUG15
1871 1872 POGSE15 COVERED BY OTHER GROUP INS IN SEP15
1873 1874 POGOC15 COVERED BY OTHER GROUP INS IN OCT15
1875 1876 POGNO15 COVERED BY OTHER GROUP INS IN NOV15
1877 1878 POGDE15 COVERED BY OTHER GROUP INS IN DEC15
1879 1880 PRSJA15 COVERED BY SELF-EMP-1 INS IN JAN15
1881 1882 PRSFE15 COVERED BY SELF-EMP-1 INS IN FEB15
1883 1884 PRSMA15 COVERED BY SELF-EMP-1 INS IN MAR15
1885 1886 PRSAP15 COVERED BY SELF-EMP-1 INS IN APR15
1887 1888 PRSMY15 COVERED BY SELF-EMP-1 INS IN MAY15
1889 1890 PRSJU15 COVERED BY SELF-EMP-1 INS IN JUN15
1891 1892 PRSJL15 COVERED BY SELF-EMP-1 INS IN JUL15
1893 1894 PRSAU15 COVERED BY SELF-EMP-1 INS IN AUG15
1895 1896 PRSSE15 COVERED BY SELF-EMP-1 INS IN SEP15
1897 1898 PRSOC15 COVERED BY SELF-EMP-1 INS IN OCT15
1899 1900 PRSNO15 COVERED BY SELF-EMP-1 INS IN NOV15
1901 1902 PRSDE15 COVERED BY SELF-EMP-1 INS IN DEC15
1903 1904 POUJA15 COVERED BY HOLDER OUTSIDE OF RU IN JAN15
1905 1906 POUFE15 COVERED BY HOLDER OUTSIDE OF RU IN FEB15
1907 1908 POUMA15 COVERED BY HOLDER OUTSIDE OF RU IN MAR15
DATE: July 24, 2017
1909 1910 POUAP15 COVERED BY HOLDER OUTSIDE OF RU IN APR15

1911 1912 POUMY15 COVERED BY HOLDER OUTSIDE OF RU IN MAY15
1913 1914 POUJU15 COVERED BY HOLDER OUTSIDE OF RU IN JUN15
1915 1916 POUJL15 COVERED BY HOLDER OUTSIDE OF RU IN JUL15
1917 1918 POUAU15 COVERED BY HOLDER OUTSIDE OF RU IN AUG15
1919 1920 POUSE15 COVERED BY HOLDER OUTSIDE OF RU IN SEP15
1921 1922 POUOC15 COVERED BY HOLDER OUTSIDE OF RU IN OCT15
1923 1924 POUNO15 COVERED BY HOLDER OUTSIDE OF RU IN NOV15
1925 1926 POUDE15 COVERED BY HOLDER OUTSIDE OF RU IN DEC15
1927 1928 PRXJA15 COV BY PRIV INS THROUGH EXCHNG IN JAN15
1929 1930 PRXFE15 COV BY PRIV INS THROUGH EXCHNG IN FEB15
1931 1932 PRXMA15 COV BY PRIV INS THROUGH EXCHNG IN MAR15
1933 1934 PRXAP15 COV BY PRIV INS THROUGH EXCHNG IN APR15
1935 1936 PRXMY15 COV BY PRIV INS THROUGH EXCHNG IN MAY15
1937 1938 PRXJU15 COV BY PRIV INS THROUGH EXCHNG IN JUN15
1939 1940 PRXJL15 COV BY PRIV INS THROUGH EXCHNG IN JUL15
1941 1942 PRXAU15 COV BY PRIV INS THROUGH EXCHNG IN AUG15
1943 1944 PRXSE15 COV BY PRIV INS THROUGH EXCHNG IN SEP15
1945 1946 PRXOC15 COV BY PRIV INS THROUGH EXCHNG IN OCT15
1947 1948 PRXNO15 COV BY PRIV INS THROUGH EXCHNG IN NOV15
1949 1950 PRXDE15 COV BY PRIV INS THROUGH EXCHNG IN DEC15
1951 1952 PRIJA15 COVERED BY PRIVATE INS IN JAN15
1953 1954 PRIFE15 COVERED BY PRIVATE INS IN FEB15
1955 1956 PRIMA15 COVERED BY PRIVATE INS IN MAR15
1957 1958 PRIAP15 COVERED BY PRIVATE INS IN APR15
1959 1960 PRIMY15 COVERED BY PRIVATE INS IN MAY15
1961 1962 PRIJU15 COVERED BY PRIVATE INS IN JUN15
1963 1964 PRIJL15 COVERED BY PRIVATE INS IN JUL15
1965 1966 PRIAU15 COVERED BY PRIVATE INS IN AUG15
1967 1968 PRISE15 COVERED BY PRIVATE INS IN SEP15
1969 1970 PRIOC15 COVERED BY PRIVATE INS IN OCT15
1971 1972 PRINO15 COVERED BY PRIVATE INS IN NOV15
1973 1974 PRIDE15 COVERED BY PRIVATE INS IN DEC15
1975 1976 HPEJA15 HOLDER OF EMPL UNION INS IN JAN15
1977 1978 HPEFE15 HOLDER OF EMPL UNION INS IN FEB15
1979 1980 HPEMA15 HOLDER OF EMPL UNION INS IN MAR15
1981 1982 HPEAP15 HOLDER OF EMPL UNION INS IN APR15
1983 1984 HPEMY15 HOLDER OF EMPL UNION INS IN MAY15
1985 1986 HPEJU15 HOLDER OF EMPL UNION INS IN JUN15
1987 1988 HPEJL15 HOLDER OF EMPL UNION INS IN JUL15
1989 1990 HPEAU15 HOLDER OF EMPL UNION INS IN AUG15
1991 1992 HPESE15 HOLDER OF EMPL UNION INS IN SEP15
1993 1994 HPEOC15 HOLDER OF EMPL UNION INS IN OCT15
1995 1996 HPENO15 HOLDER OF EMPL UNION INS IN NOV15
DATE: July 24, 2017
1997 1998 HPEDE15 HOLDER OF EMPL UNION INS IN DEC15

1999 2000 HPDJA15 HOLDER OF PRIV INS (SOURCE UNKNWN) JAN15
2001 2002 HPDFE15 HOLDER OF PRIV INS (SOURCE UNKNWN) FEB15
2003 2004 HPDMA15 HOLDER OF PRIV INS (SOURCE UNKNWN) MAR15
2005 2006 HPDAP15 HOLDER OF PRIV INS (SOURCE UNKNWN) APR15
2007 2008 HPDMY15 HOLDER OF PRIV INS (SOURCE UNKNWN) MAY15
2009 2010 HPDJU15 HOLDER OF PRIV INS (SOURCE UNKNWN) JUN15
2011 2012 HPDJL15 HOLDER OF PRIV INS (SOURCE UNKNWN) JUL15
2013 2014 HPDAU15 HOLDER OF PRIV INS (SOURCE UNKNWN) AUG15
2015 2016 HPDSE15 HOLDER OF PRIV INS (SOURCE UNKNWN) SEP15
2017 2018 HPDOC15 HOLDER OF PRIV INS (SOURCE UNKNWN) OCT15
2019 2020 HPDNO15 HOLDER OF PRIV INS (SOURCE UNKNWN) NOV15
2021 2022 HPDDE15 HOLDER OF PRIV INS (SOURCE UNKNWN) DEC15
2023 2024 HPNJA15 HOLDER OF NONGROUP INS IN JAN15
2025 2026 HPNFE15 HOLDER OF NONGROUP INS IN FEB15
2027 2028 HPNMA15 HOLDER OF NONGROUP INS IN MAR15
2029 2030 HPNAP15 HOLDER OF NONGROUP INS IN APR15
2031 2032 HPNMY15 HOLDER OF NONGROUP INS IN MAY15
2033 2034 HPNJU15 HOLDER OF NONGROUP INS IN JUN15
2035 2036 HPNJL15 HOLDER OF NONGROUP INS IN JUL15
2037 2038 HPNAU15 HOLDER OF NONGROUP INS IN AUG15
2039 2040 HPNSE15 HOLDER OF NONGROUP INS IN SEP15
2041 2042 HPNOC15 HOLDER OF NONGROUP INS IN OCT15
2043 2044 HPNNO15 HOLDER OF NONGROUP INS IN NOV15
2045 2046 HPNDE15 HOLDER OF NONGROUP INS IN DEC15
2047 2048 HPOJA15 HOLDER OF OTHER GROUP INS IN JAN15
2049 2050 HPOFE15 HOLDER OF OTHER GROUP INS IN FEB15
2051 2052 HPOMA15 HOLDER OF OTHER GROUP INS IN MAR15
2053 2054 HPOAP15 HOLDER OF OTHER GROUP INS IN APR15
2055 2056 HPOMY15 HOLDER OF OTHER GROUP INS IN MAY15
2057 2058 HPOJU15 HOLDER OF OTHER GROUP INS IN JUN15
2059 2060 HPOJL15 HOLDER OF OTHER GROUP INS IN JUL15
2061 2062 HPOAU15 HOLDER OF OTHER GROUP INS IN AUG15
2063 2064 HPOSE15 HOLDER OF OTHER GROUP INS IN SEP15
2065 2066 HPOOC15 HOLDER OF OTHER GROUP INS IN OCT15
2067 2068 HPONO15 HOLDER OF OTHER GROUP INS IN NOV15
2069 2070 HPODE15 HOLDER OF OTHER GROUP INS IN DEC15
2071 2072 HPSJA15 HOLDER OF SELF-EMP-1 INS IN JAN15
2073 2074 HPSFE15 HOLDER OF SELF-EMP-1 INS IN FEB15
2075 2076 HPSMA15 HOLDER OF SELF-EMP-1 INS IN MAR15
2077 2078 HPSAP15 HOLDER OF SELF-EMP-1 INS IN APR15
2079 2080 HPSMY15 HOLDER OF SELF-EMP-1 INS IN MAY15
2081 2082 HPSJU15 HOLDER OF SELF-EMP-1 INS IN JUN15
2083 2084 HPSJL15 HOLDER OF SELF-EMP-1 INS IN JUL15
DATE: July 24, 2017
2085 2086 HPSAU15 HOLDER OF SELF-EMP-1 INS IN AUG15

2087 2088 HPSSE15 HOLDER OF SELF-EMP-1 INS IN SEP15
2089 2090 HPSOC15 HOLDER OF SELF-EMP-1 INS IN OCT15
2091 2092 HPSNO15 HOLDER OF SELF-EMP-1 INS IN NOV15
2093 2094 HPSDE15 HOLDER OF SELF-EMP-1 INS IN DEC15
2095 2096 HPXJA15 HOLDER OF PRIV INS THROUGH EXCH IN JAN15
2097 2098 HPXFE15 HOLDER OF PRIV INS THROUGH EXCH IN FEB15
2099 2100 HPXMA15 HOLDER OF PRIV INS THROUGH EXCH IN MAR15
2101 2102 HPXAP15 HOLDER OF PRIV INS THROUGH EXCH IN APR15
2103 2104 HPXMY15 HOLDER OF PRIV INS THROUGH EXCH IN MAY15
2105 2106 HPXJU15 HOLDER OF PRIV INS THROUGH EXCH IN JUN15
2107 2108 HPXJL15 HOLDER OF PRIV INS THROUGH EXCH IN JUL15
2109 2110 HPXAU15 HOLDER OF PRIV INS THROUGH EXCH IN AUG15
2111 2112 HPXSE15 HOLDER OF PRIV INS THROUGH EXCH IN SEP15
2113 2114 HPXOC15 HOLDER OF PRIV INS THROUGH EXCH IN OCT15
2115 2116 HPXNO15 HOLDER OF PRIV INS THROUGH EXCH IN NOV15
2117 2118 HPXDE15 HOLDER OF PRIV INS THROUGH EXCH IN DEC15
2119 2120 HPRJA15 HOLDER OF PRIVATE INSURANCE IN JAN15
2121 2122 HPRFE15 HOLDER OF PRIVATE INSURANCE IN FEB15
2123 2124 HPRMA15 HOLDER OF PRIVATE INSURANCE IN MAR15
2125 2126 HPRAP15 HOLDER OF PRIVATE INSURANCE IN APR15
2127 2128 HPRMY15 HOLDER OF PRIVATE INSURANCE IN MAY15
2129 2130 HPRJU15 HOLDER OF PRIVATE INSURANCE IN JUN15
2131 2132 HPRJL15 HOLDER OF PRIVATE INSURANCE IN JUL15
2133 2134 HPRAU15 HOLDER OF PRIVATE INSURANCE IN AUG15
2135 2136 HPRSE15 HOLDER OF PRIVATE INSURANCE IN SEP15
2137 2138 HPROC15 HOLDER OF PRIVATE INSURANCE IN OCT15
2139 2140 HPRNO15 HOLDER OF PRIVATE INSURANCE IN NOV15
2141 2142 HPRDE15 HOLDER OF PRIVATE INSURANCE IN DEC15
2143 2144 INSJA15X COVR BY HOSP/MED INS IN JAN15 (ED)
2145 2146 INSFE15X COVR BY HOSP/MED INS IN FEB15 (ED)
2147 2148 INSMA15X COVR BY HOSP/MED INS IN MAR15 (ED)
2149 2150 INSAP15X COVR BY HOSP/MED INS IN APR15 (ED)
2151 2152 INSMY15X COVR BY HOSP/MED INS IN MAY15 (ED)
2153 2154 INSJU15X COVR BY HOSP/MED INS IN JUN15 (ED)
2155 2156 INSJL15X COVR BY HOSP/MED INS IN JUL15 (ED)
2157 2158 INSAU15X COVR BY HOSP/MED INS IN AUG15 (ED)
2159 2160 INSSE15X COVR BY HOSP/MED INS IN SEP15 (ED)
2161 2162 INSOC15X COVR BY HOSP/MED INS IN OCT15 (ED)
2163 2164 INSNO15X COVR BY HOSP/MED INS IN NOV15 (ED)
2165 2166 INSDE15X COVR BY HOSP/MED INS IN DEC15 (ED)
2167 2167 PRVEV15 EVER HAVE PRIVATE INSURANCE DURING 2015
2168 2168 TRIEV15 EVER HAVE TRICARE/CHAMPVA DURING 2015
2169 2169 MCREV15 EVER HAVE MEDICARE DURING 2015 (ED)
DATE: July 24, 2017
2170 2170 MCDEV15 EVER HAVE MCAID/SCHIP DURING 2015 (ED)

2171 2171 OPAEV15 EVER HAVE OTHER PUBLIC A INS DURING 2015
2172 2172 OPBEV15 EVER HAVE OTHER PUBLIC B INS DURING 2015
2173 2173 UNINS15 UNINSURED ALL OF 2015
2174 2174 INSCOV15 HEALTH INSURANCE COVERAGE INDICATOR 2015
2175 2175 INSURC15 FULL YEAR INSURANCE COVERAGE STATUS 2015
2180 2181 TRIST15X CV BY TRICARE STANDARD-R5/3 TIL 12/31/15
2186 2187 TRIPR15X COV BY TRICARE PRIME-R5/3 UNTIL 12/31/15
2192 2193 TRIEX15X COV BY TRICARE EXTRA - R5/3 TIL 12/31/15
2198 2199 TRILI15X CV BY TRICARE FOR LIFE-R5/3 TIL 12/31/15
2204 2205 TRICH15X COVERED BY CHAMPVA - R5/3 UNTIL 12/31/15
2210 2211 MCRPD15 COV BY MEDICARE PMED BENEFIT - 12/31/15
2216 2217 MCRPD15X COV BY MCARE PMED BENEFIT-12/31/15 (ED)
2222 2223 MCRPB15 COV BY MEDICARE PART B - 12/31/15
2228 2229 MCRPHO15 COV BY MEDICARE MANAGED CARE - 12/31/15
2234 2235 MCDHMO15 COV BY MCAID/SCHIP HMO-R5/3 TIL 12/31/15
2240 2241 MCDMC15 CV MCD/CHIP GTKPR PLN-R5/3 TIL 12/31/15
2246 2247 PRVHMO15 COVERED BY PRIVATE HMO-R5/3 TIL 12/31/15
2248 2249 FSAGT31 ANYONE IN RU HAVE FSA - R3/1
2250 2251 HASFSA31 PERSON IS FSA HOLDER - R3/1
DATE: July 24, 2017
2252 2259 FSAAMT31 FSA TOTAL AMOUNT FOR RU - R3/1

2260 2261 PROBPY42 FAMILY HAVING PROB PAYING MEDICAL BILLS
2262 2263 CRFMPY42 FAMILY MED BILLS BEING PAID OVER TIME
2264 2265 PYUNBL42 UNABLE TO PAY FAMILY MEDICAL BILLS
2266 2267 PREVCOVR PER COV BY INS IN PREV 2 YRS-PNL 20 ONLY
2268 2269 COVRMM MONTH MOST RECENTLY COVERED-PNL 20 ONLY
2270 2273 COVRYY YEAR MOST RECENTLY COVERED-PANEL 20 ONLY
2274 2275 WASESTB WAS PREV INS BY EMPL OR UNION-PN 20 ONLY
2276 2277 WASMCARE WAS PREV INS BY MEDICARE-PANEL 20 ONLY
2278 2279 WASMCAID WAS PREV INS BY MCAID/SCHIP-PNL 20 ONLY
2280 2281 WASCHAMP WAS PREV INS TRICARE/CHAMPVA-PNL 20 ONLY
2282 2283 WASVA WAS PREV INS VA/MILITAR CARE-PNL 20 ONLY
2284 2285 WASPRIV WAS PREV INS GRP/ASSOC/INS CO-PN 20 ONLY
2286 2287 WASOTGOV WAS PREV INS BY OTH GOV PRG-PNL 20 ONLY
2288 2289 WASAFDC WAS PREV INS BY PUBLIC AFDC-PNL 20 ONLY
2290 2291 WASSSI WAS PREV INS BY SSI PROGRAM-PNL 20 ONLY
2300 2301 WASOTHER WAS PREV INS BY OTH SOURCE-PANEL 20 ONLY
2302 2303 NOINSBEF EVR WOUT HLTH INSR PREV YR-PANEL 20 ONLY
2304 2305 NOINSTM # WKS/MON WOUT HLTH INS PRV YR-P20 ONLY
2306 2307 NOINUNIT UNIT OF TIME WOUT HLTH INS-PANEL 20 ONLY
2308 2309 MORECOVR COV BY MOR COMPR PL PREV 2 YR-PN 20 ONLY
2310 2311 INSENDMM MONTH MOST RECENTLY COVD-PANEL 20 ONLY
2312 2315 INSENDYY YEAR MOST RECENTLY COVD-PANEL 20 ONLY
2320 2321 TRICR53X COV BY TRICR/CHAMV 12-31/R3 INT DT (ED)
2322 2323 TRICR15X COV BY TRICR/CHAMV - 12/31/15 (ED)
2330 2331 TRIAT15X COV TRICARE/CHAMPVA-R5/3 UNTIL 12/31/15
2336 2337 MCAID53 COV BY MEDICAID OR SCHIP 12-31/R3 INT DT
2338 2339 MCAID15 COV BY MEDICAID OR SCHIP - 12/31/15
2344 2345 MCAID53X COV MEDICAID/SCHIP 12-31/R3 INT DT(ED)
2346 2347 MCAID15X COV BY MEDICAID OR SCHIP - 12/31/15 (ED)
DATE: July 24, 2017

2352 2353 MCARE53 COV BY MEDICARE 12-31/R3 INT DT
2354 2355 MCARE15 COV BY MEDICARE - 12/31/15
2360 2361 MCARE53X COV BY MEDICARE 12-31/R3 INT DT (ED)
2362 2363 MCARE15X COV BY MEDICARE - 12/31/15 (ED)
2370 2371 MCDAT15X CV MCD/CHIP-ANY TME IN R5/3 TIL 12/31/15
2378 2379 OTPAAT15 CV OT GOV MCD/CHIP HMO-R5/3 TIL 12/31/15
2386 2387 OTPBAT15 CV OTGV NT MCD/CHP HMO-R5/3 TIL 12/31/15
2392 2393 OTPUBA53 COV/PAY OTH GOV MCAID/SCHIP HMO 12-31/R3
2394 2395 OTPUBA15 COV/PAY OTH GOV MCAID/SCHIP HMO-12/31/15
2400 2401 OTPUBB53 COV OTH GOV NOT MCAID/SCHIP HMO 12-31/R3
2402 2403 OTPUBB15 COV OTH GOV NOT MCAID/SCHIP HMO-12/31/15
2408 2409 PRIDK53 COV BY PRIV INS (DK PLAN) 12-31/R3 INT
2410 2411 PRIDK15 COV BY PRIV INS (DK PLAN) - 12/31/15
2416 2417 PRIEU53 COV BY EMPL/UNION GRP INS 12-31/R3 INT
2418 2419 PRIEU15 COV BY EMPL/UNION GRP INS - 12/31/15
2424 2425 PRING53 COV BY NON-GROUP INS 12-31/R3 INT DT
2426 2427 PRING15 COV BY NON-GROUP INS - 12/31/15
2432 2433 PRIOG53 COV BY OTHER GROUP INS 12-31/R3 INT DT
2434 2435 PRIOG15 COV BY OTHER GROUP INS - 12/31/15
DATE: July 24, 2017

2440 2441 PRIS53 COV BY SELF-EMP-1 INS 12-31/R3 INT DT
2442 2443 PRIS15 COV BY SELF-EMP-1 INS - 12/31/15
2448 2449 PROUT53 COV BY SOMEONE OUT OF RU 12-31/R3 INT DT
2450 2451 PROUT15 COV BY SOMEONE OUT OF RU - 12/31/15
2456 2457 PRSTX53 PRIV EXCHANGE INS ON 12-31 R5/R3 INT DT
2458 2459 PRSTX15 PRIV EXCHANGE INSURANCE ON 12/31/15
2464 2465 PRIV53 COV BY PRIV HLTH INS 12-31/R3 INT DATE
2466 2467 PRIV15 COV BY PRIV HLTH INS - 12/31/15
2474 2475 PRIVAT15 COV BY PRIVATE INS - R5/3 UNTIL 12/31/15
2480 2481 PUB53X COV BY PUBLIC INS 12-31/R3 INT DT (ED)
2482 2483 PUB15X COV BY PUBLIC INS - 12/31/15 (ED)
2490 2491 PUBAT15X COV BY PUBLIC - R5/3 UNTIL 12/31/15
2496 2497 INS53X INSURED 12-31/R3 INT DATE (ED)
2498 2499 INS15X INSURED - 12/31/15 (ED)
2506 2507 INSAT15X INSURED ANY TIME IN R5/R3 UNTIL 12/31/15
2512 2513 STAPR53 COV BY STATE-SPEC PROG 12-31/R3 INT DT
2514 2515 STAPR15 COV BY STATE-SPEC PROG - 12/31/15
2522 2523 STPRAT15 COV BY STATE INS - R5/3 UNTIL 12/31/15
DATE: July 24, 2017

2530 2531 DNTINS31 DENTAL INS - ANY TIME IN RD 3/1 IN 2015
2532 2533 DNTINS15 DENTL INS-ANY TIME IN R5/R3 TIL 12/31/15
2534 2535 PMEDIN31 PMED INS - ANY TIME IN RD 3/1
2540 2541 PMDINS31 PMED INS - RD 3/1 IN 2015
2542 2543 PMDINS15 PMED INS - R5/R3 UNTIL 12/31/15
2556 2562 TOTTCH15 TOTAL HEALTH CARE CHARGES 15, EXCL RX
2563 2568 TOTEXP15 TOTAL HEALTH CARE EXP 15
2569 2573 TOTSLF15 TOTAL AMT PAID BY SELF/FAMILY 15
2574 2579 TOTMCR15 TOTAL AMT PAID BY MEDICARE 15
2580 2585 TOTMCD15 TOTAL AMT PAID BY MEDICAID 15
2586 2591 TOTPRV15 TOTAL AMT PAID BY PRIVATE INS 15
2592 2597 TOTVA15 TOTAL AMT PAID BY VA/CHAMPVA 15
2598 2602 TOTTRI15 TOTAL AMT PAID BY TRICARE 15
2603 2607 TOTOFD15 TOTAL AMT PAID BY OTHER FEDERAL 15
2608 2613 TOTSTL15 TOTAL AMT PAID BY OTH ST/LOCAL 15
2614 2619 TOTWCP15 TOTAL AMT PAID BY WORKERS COMP 15
2620 2625 TOTOPR15 TOTAL AMT PAID BY OTHER PRIVATE 15
2626 2630 TOTOPU15 TOTAL AMT PAID BY OTHER PUBLIC 15
2631 2636 TOTOSR15 TOTAL AMT PAID BY OTHER SOURCES 15
2637 2642 TOTPTR15 TOTAL AMT PAID BY PRV & TRI 15
2643 2648 TOTOTH15 TOTAL AMT PAID BY OTH COMBINED 15
2649 2651 OBTOTV15 # OFFICE-BASED PROVIDER VISITS 15
2652 2658 OBVTCH15 OFFICE-BASED PROVIDER VISIT CHARGES 15
2659 2664 OBVEXP15 TOTAL OFFICE-BASED EXP 15
2665 2669 OBVSLF15 ALL OFFICE VISITS - SELF/FAMILY AMT 15
2670 2675 OBVMCR15 ALL OFFICE VISITS - MEDICARE AMT 15
2676 2681 OBVMCD15 ALL OFFICE VISITS - MEDICAID AMT 15
2682 2687 OBVPRV15 ALL OFFICE VISITS - PRIVATE INS AMT 15
2688 2692 OBVVA15 ALL OFFICE VISITS-VA/CHAMPVA AMT 15
2693 2697 OBVTRI15 ALL OFFICE VISITS-TRICARE AMT 15
2698 2702 OBVOFD15 ALL OFFICE VISITS-OTHER FEDERAL AMT 15
2703 2708 OBVSTL15 ALL OFFICE VISITS-OTH ST/LOCAL AMT 15
2709 2713 OBVWCP15 ALL OFFICE VISITS - WORKERS COMP AMT 15
2714 2718 OBVOPR15 ALL OFFICE VISITS - OTH PRIVATE AMT 15
DATE: July 24, 2017
2719 2723 OBVOPU15 ALL OFFICE VISITS - OTH PUBLIC AMT 15

2724 2728 OBVOSR15 ALL OFF VSTS - OTH UNCLASS SRCE AMT 15
2729 2734 OBVPTR15 ALL OFFICE VISITS - PRV & TRI AMT 15
2735 2740 OBVOTH15 ALL OFFICE VISITS - OTH COMBINED AMT 15
2741 2743 OBDRV15 # OFFICE-BASED PHYSICIAN VISITS 15
2744 2750 OBDTCH15 OFFICE-BASED PHYSICIAN VISIT CHARGES 15
2751 2756 OBDEXP15 TOTAL OFF-BASED DR EXP 15
2757 2761 OBDSLF15 DR OFFICE VISITS - SELF/FAMILY AMT 15
2762 2767 OBDMCR15 DR OFFICE VISITS - MEDICARE AMT 15
2768 2773 OBDMCD15 DR OFFICE VISITS - MEDICAID AMT 15
2774 2779 OBDPRV15 DR OFFICE VISITS - PRIVATE INS AMT 15
2780 2784 OBDVA15 DR OFFICE VISITS - VA/CHAMPVA AMT 15
2785 2788 OBDTRI15 DR OFFICE VISITS - TRICARE AMT 15
2789 2792 OBDOFD15 DR OFFICE VISITS - OTHER FEDERAL AMT 15
2793 2798 OBDSTL15 DR OFFICE VISITS - OTH ST/LOCAL AMT 15
2799 2803 OBDWCP15 DR OFFICE VISITS - WORKERS COMP AMT 15
2804 2808 OBDOPR15 DR OFFICE VISITS - OTH PRIVATE AMT 15
2809 2812 OBDOPU15 DR OFFICE VISITS - OTH PUBLIC AMT 15
2813 2817 OBDOSR15 DR OFF VSTS - OTH UNCLASS SRCE AMT 15
2818 2823 OBDPTR15 DR OFFICE VISITS - PRV & TRI AMT 15
2824 2829 OBDOTH15 DR OFFICE VISITS - OTH COMBINED AMT 15
2830 2832 OBOTHV15 # OFFICE-BASED NON-PHYSICAN VISITS 15
2833 2838 OBOTCH15 OFFICE-BASED NON-DR VISIT CHARGES 15
2839 2843 OBOEXP15 TOTAL OFF-BASED NON-DR EXP 15
2844 2848 OBOSLF15 NON-DR OFF VISTS - SELF/FAMILY AMT 15
2849 2853 OBOMCR15 NON-DR OFF VISTS - MEDICARE AMT 15
2854 2858 OBOMCD15 NON-DR OFF VISTS - MEDICAID AMT 15
2859 2863 OBOPRV15 NON-DR OFF VISTS - PRIVATE INS AMT 15
2864 2868 OBOVA15 NON-DR OFF VISTS - VA/CHAMPVA AMT 15
2869 2873 OBOTRI15 NON-DR OFF VISTS - TRICARE AMT 15
2874 2878 OBOOFD15 NON-DR OFF VISTS - OTHER FEDERAL AMT 15
2879 2883 OBOSTL15 NON-DR OFF VISTS - OTH ST/LOCAL AMT 15
2884 2888 OBOWCP15 NON-DR OFF VISTS - WORKERS COMP AMT 15
2889 2893 OBOOPR15 NON-DR OFF VISTS - OTH PRIVATE AMT 15
2894 2897 OBOOPU15 NON-DR OFF VISTS - OTH PUBLIC AMT 15
2898 2902 OBOOSR15 NON-DR OF VSTS - OTH UNCLASS SRCE AMT 15
2903 2907 OBOPTR15 NON-DR OFF VISTS - PRV & TRI AMT 15
2908 2912 OBOOTH15 NON-DR OFF VISTS - OTH COMBINED AMT 15
2913 2915 OBCHIR15 # OFFICE-BASED CHIROPRACTOR VISITS 15
2916 2920 OBCTCH15 OFFICE-BASED CHIRO VISIT CHARGES 15
2921 2925 OBCEXP15 TOTAL OFF-BASED CHIRO EXP 15
2926 2929 OBCSLF15 CHIRO OFF VISITS - SELF/FAMILY AMT 15
2930 2933 OBCMCR15 CHIRO OFF VISITS - MEDICARE AMT 15
2934 2937 OBCMCD15 CHIRO OFF VISITS - MEDICAID AMT 15
DATE: July 24, 2017
2938 2942 OBCPRV15 CHIRO OFF VISITS - PRIVATE INS AMT 15

2943 2946 OBCVA15 CHIRO OFF VISITS - VA/CHAMPVA AMT 15
2947 2949 OBCTRI15 CHIRO OFF VISITS - TRICARE AMT 15
2950 2950 OBCOFD15 CHIRO OFF VISITS - OTHER FEDERAL AMT 15
2951 2953 OBCSTL15 CHIRO OFF VISITS - OTH ST/LOCAL AMT 15
2954 2957 OBCWCP15 CHIRO OFF VISITS - WORKERS COMP AMT 15
2958 2961 OBCOPR15 CHIRO OFF VISTS - OTHR PRIVATE AMT 15
2962 2964 OBCOPU15 CHIRO OFF VISTS - OTHR PUBLIC AMT 15
2965 2969 OBCOSR15 CHIRO OFF VSTS-OTHR UNCLASS SRCE AMT 15
2970 2974 OBCPTR15 CHIRO OFF VISITS - PRV & TRI AMT 15
2975 2979 OBCOTH15 CHIRO OFF VISITS -OTH COMBINED AMT 15
2980 2982 OBNURS15 # OFF-BASED NURSE/PRACTITIONER VISITS 15
2983 2988 OBNTCH15 OFFICE-BASED NURSE/PRAC VISIT CHARGES 15
2989 2993 OBNEXP15 TOTAL OFF-BASED NURSE/PRAC 15
2994 2997 OBNSLF15 NURSE/PRAC OFF VISITS-SELF/FAMILY AMT 15
2998 3002 OBNMCR15 NURSE/PRAC OFF VISITS - MEDICARE AMT 15
3003 3007 OBNMCD15 NURSE/PRAC OFF VSTS - MEDICAID AMT 15
3008 3012 OBNPRV15 NURSE/PRAC OFF VSTS-PRIVATE INS AMT 15
3013 3016 OBNVA15 NURSE/PRAC OFF VSTS - VA/CHAMPVA AMT 15
3017 3020 OBNTRI15 NURSE/PRAC OFF VSTS - TRICARE AMT 15
3021 3025 OBNOFD15 NURSE/PRAC OFF VSTS-OTHER FEDERAL AMT 15
3026 3030 OBNSTL15 NURSE/PRAC OFF VSTS-OTH ST/LOCAL AMT 15
3031 3034 OBNWCP15 NURSE/PRAC OFF VSTS-WORKERS COMP AMT 15
3035 3038 OBNOPR15 NURSE/PRAC OFF VSTS - OTH PRIVATE AMT 15
3039 3042 OBNOPU15 NURSE/PRAC OFF VSTS - OTH PUBLIC AMT 15
3043 3046 OBNOSR15 NRS/PR OFF VSTS-OTH UNCLASS SRCE AMT 15
3047 3051 OBNPTR15 NURSE/PRAC OFF VSTS - PRV & TRI AMT 15
3052 3056 OBNOTH15 NURSE/PRAC OFF VSTS-OTH COMBINED AMT 15
3057 3058 OBOPTO15 # OFF-BASED OPTOMETRIST VISITS 15
3059 3063 OBETCH15 OFFICE-BASED OPTOMTRIST VISIT CHARGES 15
3064 3067 OBEEXP15 TOTAL OFF-BASED OPTOMETRIST EXP 15
3068 3071 OBESLF15 OPTOMETRIST OFF VSTS-SELF/FAMILY AMT 15
3072 3074 OBEMCR15 OPTOMETRIST OFF VSTS - MEDICARE AMT 15
3075 3078 OBEMCD15 OPTOMETRIST OFF VSTS - MEDICAID AMT 15
3079 3082 OBEPRV15 OPTOMETRIST OFF VSTS-PRIVATE INS AMT 15
3083 3086 OBEVA15 OPTOMETRIST OFF VSTS - VA/CHAMPVA AMT 15
3087 3089 OBETRI15 OPTOMETRIST OFF VSTS - TRICARE AMT 15
3090 3092 OBEOFD15 OPTOMETRIST OFF VSTS-OTH FEDERAL AMT 15
3093 3094 OBESTL15 OPTOMETRIST OFF VSTS-OTH ST/LOCL AMT 15
3095 3095 OBEWCP15 OPTOMETRIST OFF VSTS-WORKERS COMP AMT 15
3096 3098 OBEOPR15 OPTOMETRIST OFF VSTS-OTH PRIVATE AMT 15
3099 3101 OBEOPU15 OPTOMETRIST OFF VSTS - OTH PUBLIC AMT 15
3102 3104 OBEOSR15 OPTOM OFF VSTS-OTH UNCLASS SRCE AMT 15
3105 3108 OBEPTR15 OPTOMETRIST OFF VSTS - PRV & TRI AMT 15
DATE: July 24, 2017
3109 3111 OBEOTH15 OPTOMETRIST OFF VSTS-OTH COMBINED AMT 15

3112 3113 OBASST15 # OFF-BASED PHYSICIAN ASSIST VISITS 15
3114 3119 OBATCH15 OFFICE-BASED PHYS ASST VISIT CHARGES 15
3120 3124 OBAEXP15 TOTAL OFF-BASED PHYS ASS T EXP 15
3125 3128 OBASLF15 PHYS ASS T OFF VSTS - SELF/FAMILY AMT 15
3129 3132 OBAMCR15 PHYS ASS T OFF VSTS - MEDICARE AMT 15
3133 3136 OBAMCD15 PHYS ASS T OFF VSTS - MEDICAID AMT 15
3137 3141 OBAPRV15 PHYS ASS T OFF VSTS - PRIVATE INS AMT 15
3142 3145 OBAVA15 PHYS ASS T OFF VSTS - VA/CHAMPVA AMT 15
3146 3149 OBATRI15 PHYS ASS T OFF VSTS - TRICARE AMT 15
3150 3152 OBAOFD15 PHYS ASS T OFF VSTS - OTHER FED AMT 15
3153 3155 OBASTL15 PHYS ASS T OFF VSTS - OTH ST/LOCL AMT 15
3156 3159 OBAWCP15 PHYS ASS T OFF VSTS-WORKERS COMP AMT 15
3160 3163 OBAOPR15 PHYS ASS T OFF VSTS - OTH PRIVATE AMT 15
3164 3166 OBAOPU15 PHYS ASS T OFF VSTS - OTH PUBLIC AMT 15
3167 3169 OBAOSR15 P A OFF VSTS - OTH UNCLASS SRCE AMT 15
3170 3174 OBAPTR15 PHYS ASST OFF VSTS - PRV & TRI AMT 15
3175 3178 OBAOTH15 PHYS ASST OFF VSTS - OTH COMBINED AMT 15
3179 3181 OBTHER15 # OFF-BASED PT/OT VISITS 15
3182 3186 OBTTCH15 OFFICE-BASED PT/OC VISIT CHARGES 15
3187 3191 OBTEXP15 TOT OFF-BASED PT EXP 15
3192 3195 OBTSLF15 PT/OT OFF VISITS - SELF/FAMILY AMT 15
3196 3200 OBTMCR15 PT/OT OFF VISITS - MEDICARE AMT 15
3201 3205 OBTMCD15 PT/OT OFF VISITS - MEDICAID AMT 15
3206 3210 OBTPRV15 PT/OT OFF VISITS - PRIVATE INS AMT 15
3211 3215 OBTVA15 PT/OT OFF VISITS - VA/CHAMPVA AMT 15
3216 3219 OBTTRI15 PT/OT OFF VISITS - TRICARE AMT 15
3220 3223 OBTOFD15 PT/OT OFF VISITS - OTHER FED AMT 15
3224 3226 OBTSTL15 PT/OT OFF VISITS - OTH ST/LOCL AMT 15
3227 3231 OBTWCP15 PT/OT OFF VISITS - WORKERS COMP AMT 15
3232 3235 OBTOPR15 PT/OT OFF VISITS - OTH PRIVATE AMT 15
3236 3238 OBTOPU15 PT/OT OFF VISITS - OTH PUBLIC AMT 15
3239 3243 OBTOSR15 PT/OT OFF VSTS-OTH UNCLASS SRCE AMT 15
3244 3248 OBTPTR15 PT/OT OFF VISITS - PRV & TRI AMT 15
3249 3253 OBTOTH15 PT/OT OFF VISITS - OTH COMBINED AMT 15
3254 3256 OPTOTV15 # OUTPATIENT DEPT PROVIDER VISITS 15
3257 3262 OPTTCH15 OPD FACILITY + DR VISIT CHARGES - 15
3263 3268 OPTEXP15 TOTAL OUTPATIENT FAC + DR EXP 15
3269 3273 OPTSLF15 ALL OPD VSTS-SELF/FAMILY AMT-(FAC+DR) 15
3274 3279 OPTMCR15 ALL OPD VSTS-MEDICARE AMT-(FAC+DR) 15
3280 3284 OPTMCD15 ALL OPD VSTS-MEDICAID AMT-(FAC+DR) 15
3285 3289 OPTPRV15 ALL OPD VSTS-PRIV INS AMT-(FAC+DR) 15
3290 3294 OPTVA15 ALL OPD VSTS-VA/CHAMPVA AMT-(FAC+DR) 15
3295 3299 OPTTRI15 ALL OPD VSTS-TRICARE AMT-(FAC+DR) 15
DATE: July 24, 2017
3300 3304 OPTOFD15 ALL OPD VSTS-OTHER FED AMT-(FAC+DR) 15

3305 3309 OPTSTL15 ALL OPD VST-OTH ST/LOCAL AMT(FAC+DR) 15
3310 3314 OPTWCP15 ALL OPD VST-WORKRS COMP AMT-(FAC+DR) 15
3315 3319 OPTOPR15 ALL OPD VSTS-OTH PRIVATE AMT-(FAC+DR) 15
3320 3324 OPTOPU15 ALL OPD VSTS-OTH PUBLIC AMT-(FAC+DR) 15
3325 3329 OPTOSR15 ALL OPD VST-OTH UNCLS SRC AMT(FAC+DR) 15
3330 3334 OPTPTR15 ALL OPD VISITS-PRV & TRI AMT (FAC+DR) 15
3335 3339 OPTOTH15 ALL OPD VSTS-OTH COMBINED AMT(FAC+DR) 15
3340 3345 OPFTCH15 OPD PROVIDER VISIT CHARGES - FAC 15
3346 3351 OPFEXP15 TOTAL OUTPATIENT FACILITY EXP 15
3352 3356 OPFSLF15 ALL OPD VISITS-SELF/FAMILY AMT-FAC 15
3357 3362 OPFMCR15 ALL OPD VISITS-MEDICARE AMT-FAC 15
3363 3367 OPFMCD15 ALL OPD VISITS-MEDICAID AMT-FAC 15
3368 3372 OPFPRV15 ALL OPD VISITS-PRIV INS AMT-FAC 15
3373 3377 OPFVA15 ALL OPD VISITS-VA/CHAMPVA AMT-FAC 15
3378 3382 OPFTRI15 ALL OPD VISITS-TRICARE AMT-FAC 15
3383 3387 OPFOFD15 ALL OPD VISITS-OTHER FED AMT-FAC 15
3388 3392 OPFSTL15 ALL OPD VISITS-OTH ST/LOCAL AMT-FAC 15
3393 3397 OPFWCP15 ALL OPD VISITS-WORKERS COMP AMT-FAC 15
3398 3402 OPFOPR15 ALL OPD VISITS - OTH PRIVATE AMT-FAC 15
3403 3407 OPFOPU15 ALL OPD VISITS - OTH PUBLIC AMT-FAC 15
3408 3412 OPFOSR15 ALL OPD VSTS-OTH UNCLASS SRCE AMT-FAC 15
3413 3417 OPFPTR15 ALL OPD VISITS - PRV & TRI AMT-FAC 15
3418 3422 OPFOTH15 ALL OPD VISITS - OTH COMBINED AMT-FAC 15
3423 3427 OPDEXP15 TOTAL OUTPATIENT PROVIDER EXP 15
3428 3432 OPDTCH15 OPD PROVIDER VISIT CHARGES - DR 15
3433 3437 OPDSLF15 ALL OPD VISITS-SELF/FAMILY AMT-DR 15
3438 3442 OPDMCR15 ALL OPD VISITS-MEDICARE AMT-DR 15
3443 3446 OPDMCD15 ALL OPD VISITS-MEDICAID AMT-DR 15
3447 3451 OPDPRV15 ALL OPD VISITS-PRIV INS AMT-DR 15
3452 3455 OPDVA15 ALL OPD VISITS-VA/CHAMPVA AMT-DR 15
3456 3459 OPDTRI15 ALL OPD VISITS-TRICARE AMT-DR 15
3460 3461 OPDOFD15 ALL OPD VISITS-OTHER FED AMT-DR 15
3462 3465 OPDSTL15 ALL OPD VISITS-OTH ST/LOCAL AMT-DR 15
3466 3469 OPDWCP15 ALL OPD VISITS-WORKERS COMP AMT-DR 15
3470 3473 OPDOPR15 ALL OPD VISITS - OTH PRIVATE AMT-DR 15
3474 3477 OPDOPU15 ALL OPD VISITS-OTH PUBLIC AMT-DR 15
3478 3481 OPDOSR15 ALL OPD VSTS-OTH UNCLASS SRCE AMT-DR 15
3482 3486 OPDPTR15 ALL OPD VISITS-PRV & TRI AMT -DR 15
3487 3490 OPDOTH15 ALL OPD VISITS-OTH COMBINED AMT-DR 15
3491 3492 OPDRV15 # OUTPATIENT DEPT PHYSICIAN VISITS 15
3493 3498 OPVTCH15 OPD PHYSICIAN VISIT CHARGES - FAC 15
3499 3504 OPVEXP15 TOTAL OUTPATIENT PHYSICIAN - FAC EXP 15
3505 3509 OPVSLF15 OPD DR VISITS-SELF/FAMILY AMT-FAC 15
DATE: July 24, 2017
3510 3515 OPVMCR15 OPD DR VISITS-MEDICARE AMT-FAC 15

3516 3520 OPVMCD15 OPD DR VISITS-MEDICAID AMT-FAC 15
3521 3525 OPVPRV15 OPD DR VISITS-PRIV INS AMT-FAC 15
3526 3530 OPVVA15 OPD DR VISITS-VA/CHAMPVA AMT-FAC 15
3531 3535 OPVTRI15 OPD DR VISITS-TRICARE AMT-FAC 15
3536 3540 OPVOFD15 OPD DR VISITS-OTHER FED AMT-FAC 15
3541 3545 OPVSTL15 OPD DR VISITS-OTH ST/LOCAL AMT-FAC 15
3546 3549 OPVWCP15 OPD DR VISITS-WORKERS COMP AMT-FAC 15
3550 3553 OPVOPR15 OPD DR VISITS - OTH PRIVATE AMT-FAC 15
3554 3558 OPVOPU15 OPD DR VISITS-OTH PUBLIC AMT-FAC 15
3559 3562 OPVOSR15 OPD DR VSTS-OTH UNCLASS SRCE AMT-FAC 15
3563 3567 OPVPTR15 OPD DR VISITS - PRV & TRI AMT-FAC 15
3568 3572 OPVOTH15 OPD DR VISITS - OTH COMBINED AMT-FAC 15
3573 3577 OPSEXP15 TOTAL OUTPATIENT PHYSICIAN - DR EXP 15
3578 3582 OPSTCH15 OPD PHYSICIAN VISIT CHARGES - DR 15
3583 3587 OPSSLF15 OPD DR VISITS-SELF/FAMILY AMT-DR 15
3588 3592 OPSMCR15 OPD DR VISITS-MEDICARE AMT-DR 15
3593 3596 OPSMCD15 OPD DR VISITS-MEDICAID AMT-DR 15
3597 3601 OPSPRV15 OPD DR VISITS-PRIV INS AMT-DR 15
3602 3604 OPSVA15 OPD DR VISITS-VA/CHAMPVA AMT-DR 15
3605 3608 OPSTRI15 OPD DR VISITS-TRICARE AMT-DR 15
3609 3610 OPSOFD15 OPD DR VISITS-OTHER FED AMT-DR 15
3611 3614 OPSSTL15 OPD DR VISITS-OTH ST/LOCAL AMT-DR 15
3615 3618 OPSWCP15 OPD DR VISITS-WORKERS COMP AMT-DR 15
3619 3622 OPSOPR15 OPD DR VISITS - OTH PRIVATE AMT-DR 15
3623 3626 OPSOPU15 OPD DR VISITS-OTH PUBLIC AMT-DR 15
3627 3630 OPSOSR15 OPD DR VSTS-OTH UNCLASS SRCE AMT-DR 15
3631 3635 OPSPTR15 OPD DR VISITS - PRV & TRI AMT-DR 15
3636 3639 OPSOTH15 OPD DR VISITS -OTH COMBINED AMT-DR 15
3640 3642 OPOTHV15 # OUTPATIENT DEPT NON-DR VISITS 15
3643 3648 OPOTCH15 OPD NON-PHYS VISIT CHARGES - FAC 15
3649 3654 OPOEXP15 TOTAL OUTPATIENT NON-DR - FAC EXP 15
3655 3658 OPOSLF15 OPD NON-DR VISITS-SELF/FAM AMT-FAC 15
3659 3664 OPOMCR15 OPD NON-DR VISITS-MEDICARE AMT-FAC 15
3665 3669 OPOMCD15 OPD NON-DR VISITS-MEDICAID AMT-FAC 15
3670 3674 OPOPRV15 OPD NON-DR VISITS-PRIV INS AMT-FAC 15
3675 3679 OPOVA15 OPD NON-DR VISITS-VA/CHAMPVA AMT-FAC 15
3680 3684 OPOTRI15 OPD NON-DR VISITS-TRICARE AMT-FAC 15
3685 3689 OPOOFD15 OPD NON-DR VISITS-OTHER FED AMT-FAC 15
3690 3693 OPOSTL15 OPD NON-DR VISITS-OTH ST/LOC AMT-FAC 15
3694 3698 OPOWCP15 OPD NON-DR VISITS-WRKRS COMP AMT-FAC 15
3699 3703 OPOOPR15 OPD NON-DR VISITS-OTH PRIVATE AMT-FAC 15
3704 3706 OPOOPU15 OPD NON-DR VISITS-OTH PUBLIC AMT-FAC 15
3707 3710 OPOOSR15 OPD NON-DR VSTS-OT UNCLAS SRC AMT-FAC 15
DATE: July 24, 2017
3711 3715 OPOPTR15 OPD NON-DR VISITS - PRV & TRI AMT-FAC 15
3716 3720 OPOOTH15 OPD NON-DR VISITS-OTH COMBINED AM-FAC 15
3721 3725 OPPEXP15 TOTAL OUTPATIENT NON-DR - DR EXP 15
3726 3730 OPPTCH15 OPD NON-PHYS VISIT CHARGES - DR 15
3731 3734 OPPSLF15 OPD NON-DR VISITS-SELF/FAM AMT-DR 15
3735 3738 OPPMCR15 OPD NON-DR VISITS-MEDICARE AMT-DR 15
3739 3742 OPPMCD15 OPD NON-DR VISITS-MEDICAID AMT-DR 15
3743 3747 OPPPRV15 OPD NON-DR VISITS-PRIV INS AMT-DR 15
3748 3750 OPPVA15 OPD NON-DR VISITS-VA/CHAMPVA AMT-DR 15
3751 3753 OPPTRI15 OPD NON-DR VISITS-TRICARE AMT-DR 15
3754 3755 OPPOFD15 OPD NON-DR VISITS-OTHER FED AMT-DR 15
3756 3758 OPPSTL15 OPD NON-DR VISITS-OTH ST/LOC AMT-DR 15
3759 3762 OPPWCP15 OPD NON-DR VISITS-WRKRS COMP AMT-DR 15
3763 3765 OPPOPR15 OPD NON-DR VISITS-OTH PRIVATE AMT-DR 15
3766 3768 OPPOPU15 OPD NON-DR VISITS-OTH PUBLIC AMT-DR 15
3769 3772 OPPOSR15 OPD NON-DR VSTS-OT UNCLAS SRC AMT-DR 15
3773 3777 OPPPTR15 OPD NON-DR VISITS - PRV & TRI AMT-DR 15
3778 3781 OPPOTH15 OPD NON-DR VISITS-OTH COMBINED AMT-DR 15
3782 3784 AMCHIR15 # CHIROPRACTR VSTS (OFF+OUTPAT), 2015
3785 3789 AMCTCH15 CHIRO AMBULATORY VISIT CHARGES 15
3790 3794 AMCEXP15 TOTL AMBULTRY (OB+OP) CHIRO EXP 15
3795 3798 AMCSLF15 CHIRO AMB VISITS - SELF/FAMILY AMT 15
3799 3802 AMCMCR15 CHIRO AMB VISITS - MEDICARE AMT 15
3803 3806 AMCMCD15 CHIRO AMB VISITS - MEDICAID AMT 15
3807 3811 AMCPRV15 CHIRO AMB VISITS - PRIVATE INS AMT 15
3812 3815 AMCVA15 CHIRO AMB VISITS - VA/CHAMPVA AMT 15
3816 3818 AMCTRI15 CHIRO AMB VISITS-TRICARE AMT 15
3819 3821 AMCOFD15 CHIRO AMB VISITS - OTHER FEDERAL AMT 15
3822 3824 AMCSTL15 CHIRO AMB VISITS - OTH ST/LOCAL AMT 15
3825 3828 AMCWCP15 CHIRO AMB VISITS-WORKERS COMP AMT 15
3829 3832 AMCOPR15 CHIRO AMB VISITS - OTH PRIVATE AMT 15
3833 3835 AMCOPU15 CHIRO AMB VISITS - OTH PUBLIC AMT 15
3836 3840 AMCOSR15 CHIR AMB VSTS - OTH UNCLASS SRCE AMT 15
3841 3845 AMCPTR15 CHIRO AMB VISITS -PRV & TRI AMT 15
3846 3850 AMCOTH15 CHIRO AMB VISITS - OTH COMBINED AMT 15
3851 3853 AMNURS15 # AMB NURSE/PRCTITIONR VSTS(OB+OP) 15
3854 3859 AMNTCH15 NRS/PRAC AMBULATORY VISIT CHARGES 15
3860 3864 AMNEXP15 TOTL AMBULTRY (OB+OP) NURSE/PRAC EXP 15
3865 3868 AMNSLF15 NRS/PRAC AMB VSTS - SELF/FAMILY AMT 15
3869 3873 AMNMCR15 NRS/PRAC AMB VSTS - MEDICARE AMT 15
3874 3878 AMNMCD15 NRS/PRAC AMB VSTS - MEDICAID AMT 15
3879 3883 AMNPRV15 NRS/PRAC AMB VSTS - PRIV INS AMT 15
3884 3887 AMNVA15 NRS/PRAC AMB VSTS-VA/CHAMPVA AMT 15
3888 3892 AMNTRI15 NRS/PRAC AMB VSTS-TRICARE AMT 15
DATE: July 24, 2017
3893 3897 AMNOFD15 NRS/PRAC AMB VSTS-OTHER FEDERAL AMT 15

3898 3902 AMNSTL15 NRS/PRAC AMB VSTS-OTH ST/LOCAL AMT 15
3903 3906 AMNWCP15 NRS/PRAC AMB VSTS-WORKERS COMP AMT 15
3907 3911 AMNOPR15 NRS/PRAC AMB VSTS - OTH PRIVATE AMT 15
3912 3915 AMNOPU15 NRS/PRAC AMB VSTS - OTH PUBLIC AMT 15
3916 3919 AMNOSR15 NRS/PR AMB VSTS - OTH UNCLAS SRCE AMT 15
3920 3924 AMNPTR15 NRS/PRAC AMB VSTS - PRV & TRI AMT 15
3925 3929 AMNOTH15 NRS/PRAC AMB VSTS - OTH COMBINED AMT 15
3930 3931 AMOPTO15 # AMB OPTOMETRIST VSTS (OB+OP) 15
3932 3936 AMETCH15 OPTOMETRIST AMBULATORY VISIT CHARGES 15
3937 3940 AMEEXP15 TOTL AMBULTRY (OB+OP) OPTOMETRIST EXP 15
3941 3944 AMESLF15 OPTMTRIST AMB VSTS - SELF/FAMILY AMT 15
3945 3947 AMEMCR15 OPTMTRIST AMB VSTS - MEDICARE AMT 15
3948 3951 AMEMCD15 OPTMTRIST AMB VSTS - MEDICAID AMT 15
3952 3955 AMEPRV15 OPTMTRIST AMB VSTS - PRIVATE INS AMT 15
3956 3959 AMEVA15 OPTMTRIST AMB VSTS-VA/CHAMPVA AMT 15
3960 3962 AMETRI15 OPTMTRIST AMB VSTS-TRICARE AMT 15
3963 3965 AMEOFD15 OPTMTRIST AMB VSTS-OTHER FED AMT 15
3966 3967 AMESTL15 OPTMTRIST AMB VSTS-OTH ST/LOCAL AMT 15
3968 3968 AMEWCP15 OPTMTRIST AMB VSTS-WORKERS COMP AMT 15
3969 3971 AMEOPR15 OPTMTRIST AMB VSTS - OTH PRIVATE AMT 15
3972 3974 AMEOPU15 OPTMTRIST AMB VSTS - OTH PUBLIC AMT 15
3975 3977 AMEOSR15 OPTOM AMB VSTS - OTH UNCLAS SRCE AMT 15
3978 3981 AMEPTR15 OPTMTRIST AMB VSTS - PRV & TRI AMT 15
3982 3984 AMEOTH15 OPTMTRIST AMB VSTS - OTH COMBINED AMT 15
3985 3986 AMASST15 # PHYSICIAN ASS T VSTS (OFF+OUPAT), 2015
3987 3992 AMATCH15 PHYS ASS T AMBULATORY VISIT CHARGES 15
3993 3997 AMAEXP15 TOTL AMBULTRY (OB+OP) PHYS ASS T EXP 15
3998 4001 AMASLF15 PHYS ASS T AMB VSTS-SELF/FAMILY AMT 15
4002 4005 AMAMCR15 PHYS ASS T AMB VSTS-MEDICARE AMT 15
4006 4009 AMAMCD15 PHYS ASS T AMB VSTS-MEDICAID AMT 15
4010 4014 AMAPRV15 PHYS ASS T AMB VSTS-PRIVATE INS AMT 15
4015 4018 AMAVA15 PHYS ASS T AMB VSTS-VA/CHAMPVA AMT 15
4019 4022 AMATRI15 PHYS ASS T AMB VSTS-TRICARE AMT 15
4023 4025 AMAOFD15 PHYS ASS T AMB VSTS - OTHER FED AMT 15
4026 4028 AMASTL15 PHYS ASS T AMB VSTS-OTH ST/LOCL AMT 15
4029 4032 AMAWCP15 PHYS ASS T AMB VSTS-WRKERS COMP AMT 15
4033 4036 AMAOPR15 PHYS ASS T AMB VSTS - OTH PRIVATE AMT 15
4037 4039 AMAOPU15 PHYS ASS T AMB VSTS - OTH PUBLIC AMT 15
4040 4042 AMAOSR15 P A AMB VSTS - OTH UNCLASS SRCE AMT 15
4043 4047 AMAPTR15 PHYS ASS T AMB VSTS - PRV & TRI AMT 15
4048 4051 AMAOTH15 PHYS ASS T AMB VSTS-OTH COMBINED AMT 15
4052 4054 AMTHER15 # AMB PT/OT THRPY VISITS (OB+OP) 15
4055 4060 AMTTCH15 PT/OC AMBULATORY VISIT CHARGES 15
DATE: July 24, 2017
4061 4065 AMTEXP15 TOTL AMBULTRY (OB+OP) PT/OT EXP 15

4066 4069 AMTSLF15 PT/OT AMB VISITS-SELF/FAMILY AMT 15
4070 4074 AMTMCR15 PT/OT AMB VISITS-MEDICARE AMT 15
4075 4079 AMTMCD15 PT/OT AMB VISITS-MEDICAID AMT 15
4080 4084 AMTPRV15 PT/OT AMB VISITS-PRIVATE INS AMT 15
4085 4089 AMTVA15 PT/OT AMB VISITS-VA/CHAMPVA AMT 15
4090 4093 AMTTRI15 PT/OT AMB VISITS-TRICARE AMT 15
4094 4098 AMTOFD15 PT/OT AMB VISITS - OTHER FED AMT 15
4099 4101 AMTSTL15 PT/OT AMB VISITS-OTH ST/LOCL AMT 15
4102 4106 AMTWCP15 PT/OT AMB VISITS-WORKERS COMP AMT 15
4107 4111 AMTOPR15 PT/OT AMB VISITS - OTH PRIVATE AMT 15
4112 4114 AMTOPU15 PT/OT AMB VISITS-OTH PUBLIC AMT 15
4115 4119 AMTOSR15 PT/OT AMB VSTS-OTH UNCLAS SRCE AMT 15
4120 4124 AMTPTR15 PT/OT AMB VISITS -PRV & TRI AMT 15
4125 4129 AMTOTH15 PT/OT AMB VISITS - OTH COMBINED AMT 15
4130 4132 AMTOTC15 # CALLS W/OFFICE & OUPAT DEPTS, 2015
4133 4133 AMDRC15 # CALLS W/OFF & OUTPAT PHYSICIANS, 2015
4134 4135 ERTOT15 # EMERGENCY ROOM VISITS 15
4136 4141 ERTTCH15 ER FACILITY + DR VISIT CHARGES 15
4142 4147 ERTEXP15 TOTAL ER FACILITY + DR EXP 15
4148 4152 ERTSLF15 ER-SELF/FAMILY AMT-(FAC+DR) 15
4153 4157 ERTMCR15 ER-MEDICARE AMT-(FAC+DR) 15
4158 4162 ERTMCD15 ER-MEDICAID AMT-(FAC+DR) 15
4163 4168 ERTPRV15 ER-PRIV INS AMT-(FAC+DR) 15
4169 4173 ERTVA15 ER-VA/CHAMPVA AMT-(FAC+DR) 15
4174 4177 ERTTRI15 ER-TRICARE AMT-(FAC+DR) 15
4178 4181 ERTOFD15 ER-OTHER FED AMT-(FAC+DR) 15
4182 4185 ERTSTL15 ER-OTH ST/LOCAL AMT-(FAC+DR) 15
4186 4189 ERTWCP15 ER-WORKERS COMP AMT-(FAC+DR) 15
4190 4194 ERTOPR15 ER-OTH PRIVATE AMT-(FAC+DR) 15
4195 4199 ERTOPU15 ER-OTH PUBLIC AMT-(FAC+DR) 15
4200 4204 ERTOSR15 ER-OTH UNCLASS SRCE AMT-(FAC+DR) 15
4205 4210 ERTPTR15 ER-PRV & TRI AMT (FAC+DR) 15
4211 4215 ERTOTH15 ER -OTH COMBINED AMT (FAC+DR) 15
4216 4221 ERFTCH15 ER FACILITY VISIT CHARGES 15
4222 4227 ERFEXP15 TOTAL ER FACILITY EXP 15
4228 4232 ERFSLF15 ER-SELF/FAMILY AMT - FAC 15
4233 4237 ERFMCR15 ER-MEDICARE AMT - FAC 15
4238 4242 ERFMCD15 ER-MEDICAID AMT - FAC 15
4243 4248 ERFPRV15 ER-PRIVATE INS AMT - FAC 15
4249 4253 ERFVA15 ER-VA/CHAMPVA AMT - FAC 15
4254 4257 ERFTRI15 ER-TRICARE AMT - FAC 15
4258 4261 ERFOFD15 ER-OTHER FEDERAL AMT - FAC 15
4262 4265 ERFSTL15 ER-OTH ST/LOCAL AMT - FAC 15
DATE: July 24, 2017
4266 4269 ERFWCP15 ER-WORKERS COMP AMT - FAC 15

4270 4274 ERFOPR15 ER-OTHER PRIVATE AMT - FAC 15
4275 4279 ERFOPU15 ER-OTHER PUBLIC AMT - FAC 15
4280 4284 ERFOSR15 ER-OTH UNCLASS SRCE AMT - FAC 15
4285 4290 ERFPTR15 ER-PRV & TRI AMT - FAC 15
4291 4295 ERFOTH15 ER-OTH COMBINED AMT - FAC 15
4296 4299 ERDEXP15 TOTAL EMERGENCY ROOM DR EXP 15
4300 4304 ERDTCH15 ER DOCTOR VISIT CHARGES 15
4305 4308 ERDSLF15 ER-SELF/FAMILY AMT - DR 15
4309 4312 ERDMCR15 ER-MEDICARE AMT - DR 15
4313 4316 ERDMCD15 ER-MEDICAID AMT - DR 15
4317 4320 ERDPRV15 ER-PRIVATE INS AMT - DR 15
4321 4324 ERDVA15 ER-VA/CHAMPVA AMT - DR 15
4325 4327 ERDTRI15 ER-TRICARE AMT - DR 15
4328 4328 ERDOFD15 ER-OTHER FED AMT - DR 15
4329 4330 ERDSTL15 ER-OTH ST/LOCAL AMT - DR 15
4331 4334 ERDWCP15 ER-WORKERS COMP AMT - DR 15
4335 4338 ERDOPR15 ER - OTHER PRIVATE AMT - DR 15
4339 4342 ERDOPU15 ER - OTHER PUBLIC AMT - DR 15
4343 4346 ERDOSR15 ER-OTH UNCLASS SRCE AMT - DR 15
4347 4350 ERDPTR15 ER-PRV & TRI AMT - DR 15
4351 4354 ERDOTH15 ER-OTH COMBINED AMT - DR 15
4355 4355 IPZERO15 # ZERO-NIGHT HOSPITAL STAYS 15
4356 4360 ZIFTCH15 ZERO-NITE IP STAY CHARGES - FAC 15
4361 4365 ZIFEXP15 TOTAL ZERO-NITE STAYS FAC EXP 15
4366 4369 ZIFSLF15 ZERO-NITE IP STAZ-SELF/FAM AMT-FAC 15
4370 4374 ZIFMCR15 ZERO-NITE IP STAZ-MEDICARE AMT-FAC 15
4375 4379 ZIFMCD15 ZERO-NITE IP STAZ-MEDICAID AMT-FAC 15
4380 4384 ZIFPRV15 ZERO-NITE IP STAZ-PRIV INS AMT-FAC 15
4385 4389 ZIFVA15 ZERO-NITE IP STAZ-VA/CHAMPVA AMT-FAC 15
4390 4393 ZIFTRI15 ZERO-NITE IP STAZ-TRICARE AMT-FAC 15
4394 4397 ZIFOFD15 ZERO-NITE IP STAZ-OTHER FED AMT-FAC 15
4398 4398 ZIFSTL15 ZERO-NITE IP STAZ-OTH ST/LOC AMT-FAC 15
4399 4399 ZIFWCP15 ZERO-NITE IP STAZ-WRKERS COMP AMT-FAC 15
4400 4403 ZIFOPR15 ZERO-NITE IP STAZ-OTH PRIVATE AMT-FAC 15
4404 4404 ZIFOPU15 ZERO-NITE IP STAZ-OTH PUBLIC AMT-FAC 15
4405 4408 ZIFOSR15 ZERO-NITE IP STAZ-UNCLAS SRCE AMT-FAC 15
4409 4413 ZIFPTR15 ZERO-NITE IP STAZ-PRV & TRI AMT-FAC 15
4414 4417 ZIFOTH15 ZERO-NITE IP STAZ-OTH COMBINE AMT-FAC 15
4418 4421 ZIDEXP15 TOTAL ZERO-NITE STAZ DR 15
4422 4426 ZIDTCH15 ZERO-NITE IP STAY CHARGES - DR 15
4427 4429 ZIDSLF15 ZERO-NITE IP STAZ-SELF/FAM AMT-DR 15
4430 4433 ZIDMCR15 ZERO-NITE IP STAZ-MEDICARE AMT-DR 15
4434 4437 ZIDMCD15 ZERO-NITE IP STAZ-MEDICAID AMT-DR 15
DATE: July 24, 2017
4438 4441 ZIDPRV15 ZERO-NITE IP STAZ-PRIV INS AMT-DR 15

4442 4443 ZIDVA15 ZERO-NITE IP STAZ-VA/CHAMPVA AMT-DR 15
4444 4444 ZIDTRI15 ZERO-NITE IP STAZ-TRICARE AMT-DR 15
4445 4445 ZIDOFD15 ZERO-NITE IP STAZ-OTHER FED AMT-DR 15
4446 4446 ZIDSTL15 ZERO-NITE IP STAZ-OTH ST/LOC AMT-DR 15
4447 4447 ZIDWCP15 ZERO-NITE IP STAZ-WRKERS COMP AMT-DR 15
4448 4450 ZIDOPR15 ZERO-NITE IP STAZ-OTH PRIVATE AMT-DR 15
4451 4451 ZIDOPU15 ZERO-NITE IP STAZ-OTH PUBLIC AMT-DR 15
4452 4452 ZIDOSR15 ZERO-NITE IP STAZ-UNCLAS SRCE AMT-DR 15
4453 4456 ZIDPTR15 ZERO-NITE IP STAZ-PRV & TRI AMT-DR 15
4457 4459 ZIDOTH15 ZERO-NITE IP STAZ-OTH COMBINED AMT-DR 15
4460 4461 IPDIS15 # HOSPITAL DISCHARGES, 2015
4462 4467 IPTEXP15 TOT HOSP IP FACILITY + DR EXP 15
4468 4474 IPTTCH15 IP HOSP STAY CHARGES (FAC+DR) 15
4475 4479 IPTSLF15 IP HOSP STAZ-SELF/FAMILY AMT-(FAC+DR) 15
4480 4485 IPTMCR15 IP HOSP STAZ-MEDICARE AMT-(FAC+DR) 15
4486 4491 IPTMCD15 IP HOSP STAZ-MEDICAID AMT-(FAC+DR) 15
4492 4497 IPTPRV15 IP HOSP STAZ-PRIV INS AMT-(FAC+DR) 15
4498 4503 IPTVA15 IP HOSP STAZ-VA/CHAMPVA AMT-(FAC+DR) 15
4504 4508 IPTTRI15 IP HOSP STAZ-TRICARE AMT-(FAC+DR) 15
4509 4513 IPTOFD15 IP HOSP STAZ-OTHER FED AMT-(FAC+DR) 15
4514 4518 IPTSTL15 IP HSP STAZ-OTH ST/LOCAL AMT-(FAC+DR) 15
4519 4523 IPTWCP15 IP HOSP STAZ-WRKRS COMP AMT-(FAC+DR) 15
4524 4529 IPTOPR15 IP HOSP STAZ-OTH PRIVATE AMT-(FAC+DR) 15
4530 4534 IPTOPU15 IP HOSP STAZ-OTH PUBLIC AMT-(FAC+DR) 15
4535 4540 IPTOSR15 IP HSP STAZ-OTH UNCLS SRC AMT(FAC+DR) 15
4541 4546 IPTPTR15 IP HOSP STAZ-PRV & TRI AMT-(FAC+DR) 15
4547 4552 IPTOTH15 IP HOSP STAZ-OTH COMBINED AMT(FAC+DR) 15
4553 4558 IPFEXP15 TOT HOSP IP FACILITY EXP-INC 0 NITES 15
4559 4565 IPFTCH15 IP HOSP STAY CHARGES - FAC 15
4566 4570 IPFSLF15 IP HOSP STAZ-SELF/FAMILY AMT-FAC 15
4571 4576 IPFMCR15 IP HOSP STAZ-MEDICARE AMT-FAC 15
4577 4582 IPFMCD15 IP HOSP STAZ-MEDICAID AMT-FAC 15
4583 4588 IPFPRV15 IP HOSP STAZ-PRIV INS AMT-FAC 15
4589 4594 IPFVA15 IP HOSP STAZ-VA/CHAMPVA AMT-FAC 15
4595 4599 IPFTRI15 IP HOSP STAZ-TRICARE AMT-FAC 15
4600 4604 IPFOFD15 IP HOSP STAZ-OTHER FED AMT-FAC 15
4605 4609 IPFSTL15 IP HOSP STAZ-OTH ST/LOCAL AMT-FAC 15
4610 4614 IPFWCP15 IP HOSP STAZ-WORKERS COMP AMT-FAC 15
4615 4620 IPFOPR15 IP HOSP STAZ - OTH PRIVATE AMT-FAC 15
4621 4625 IPFOPU15 IP HOSP STAZ - OTH PUBLIC AMT-FAC 15
4626 4631 IPFOSR15 IP HOSP STAZ-OT UNCLASS SRCE AMT-FAC 15
4632 4637 IPFPTR15 IP HOSP STAZ-PRV & TRI AMT-FAC 15
4638 4643 IPFOTH15 IP HOSP STAZ-OTH COMBINED AMT-FAC 15
DATE: July 24, 2017
4644 4648 IPDEXP15 TOTL HOSP STAZ DR EXP 15

4649 4654 IPDTCH15 IP HOSP STAY CHARGES - DR 15
4655 4658 IPDSLF15 IP HOSP STAZ-SELF/FAMILY AMT-DR 15
4659 4663 IPDMCR15 IP HOSP STAZ-MEDICARE AMT- DR 15
4664 4667 IPDMCD15 IP HOSP STAZ-MEDICAID AMT-DR 15
4668 4672 IPDPRV15 IP HOSP STAZ-PRIV INS AMT-DR 15
4673 4676 IPDVA15 IP HOSP STAZ-VA/CHAMPVA AMT-DR 15
4677 4680 IPDTRI15 IP HOSP STAZ-TRICARE AMT-DR 15
4681 4684 IPDOFD15 IP HOSP STAZ-OTHER FED AMT-DR 15
4685 4687 IPDSTL15 IP HOSP STAZ-OTH ST/LOCAL AMT-DR 15
4688 4691 IPDWCP15 IP HOSP STAZ-WORKERS COMP AMT-DR 15
4692 4696 IPDOPR15 IP HOSP STAZ - OTH PRIVATE AMT-DR 15
4697 4700 IPDOPU15 IP HOSP STAZ - OTH PUBLIC AMT-DR 15
4701 4704 IPDOSR15 IP HOSP STAZ-OT UNCLASS SORCE AMT-DR 15
4705 4709 IPDPTR15 IP HOSP STAZ-PRV & TRI AMT-DR 15
4710 4714 IPDOTH15 IP HOSP STAZ-OTH COMBINED AMT-DR 15
4715 4717 IPNGTD15 # NIGHTS IN HOSP FOR DISCHARGES, 2015
4718 4719 DVTOT15 # DENTAL CARE VISITS 15
4720 4724 DVTTCH15 TOTAL DENTAL CARE VISIT CHARGES 15
4725 4729 DVTEXP15 TOTAL DENTAL CARE EXP 15
4730 4734 DVTSLF15 ALL DENTAL CARE - SELF/FAMILY AMT 15
4735 4739 DVTMCR15 ALL DENTAL CARE - MEDICARE AMT 15
4740 4744 DVTMCD15 ALL DENTAL CARE - MEDICAID AMT 15
4745 4749 DVTPRV15 ALL DENTAL CARE - PRIVATE INS AMT 15
4750 4754 DVTVA15 ALL DENTAL CARE - VA/CHAMPVA AMT 15
4755 4758 DVTTRI15 ALL DENTAL CARE - TRICARE AMT 15
4759 4763 DVTOFD15 ALL DENTAL CARE - OTHER FEDRL AMT 15
4764 4767 DVTSTL15 ALL DENTAL CARE - OTH ST/LOCAL AMT 15
4768 4770 DVTWCP15 ALL DENTAL CARE - WORKERS COMP AMT 15
4771 4774 DVTOPR15 ALL DENTAL CARE - OTH PRIVATE AMT 15
4775 4778 DVTOPU15 ALL DENTAL CARE - OTH PUBLIC AMT 15
4779 4782 DVTOSR15 ALL DENT CARE-OT UNCLASS SRCE AMT 15
4783 4787 DVTPTR15 ALL DENTAL CARE - PRV & TRI AMT 15
4788 4792 DVTOTH15 ALL DENTAL CARE - OTH COMBINED AMT 15
4793 4794 DVGEN15 # GENERAL DENTIST VISITS 15
4795 4799 DVGTCH15 GENERAL DENTAL CARE VISIT CHARGES 15
4800 4804 DVGEXP15 TOTAL GENERAL DENTIST EXP 15
4805 4809 DVGSLF15 GNRL DENTAL VISITS - SELF/FAM AMT 15
4810 4814 DVGMCR15 GNRL DENTAL VISITS - MEDICARE AMT 15
4815 4819 DVGMCD15 GNRL DENTAL VISITS - MEDICAID AMT 15
4820 4824 DVGPRV15 GNRL DENTAL VISITS - PRIVATE INS AMT 15
4825 4829 DVGVA15 GNRL DENTAL VISITS - VA/CHAMPVA AMT 15
4830 4833 DVGTRI15 GNRL DENTAL VISITS-TRICARE AMT 15
4834 4837 DVGOFD15 GNRL DENTAL VISITS - OTHER FED AMT 15
DATE: July 24, 2017
4838 4841 DVGSTL15 GNRL DENTAL VISITS - OTH ST/LOCAL AMT 15

4842 4844 DVGWCP15 GNRL DENTAL VISITS - WORKERS COMP AMT 15
4845 4848 DVGOPR15 GNRL DENTAL VISITS - OTH PRIVATE AMT 15
4849 4852 DVGOPU15 GNRL DENTAL VISITS - OTH PUBLIC AMT 15
4853 4856 DVGOSR15 GNRL DENT VSTS - OT UNCLASS SRCE AMT 15
4857 4861 DVGPTR15 GNRL DENTAL VISITS - PRV & TRI AMT 15
4862 4865 DVGOTH15 GNRL DENTAL VISITS - OTH COMBINED AMT 15
4866 4867 DVORTH15 # ORTHODONTIST VISITS 15
4868 4872 DVOTCH15 ORTHODONTIST VISIT CHARGES 15
4873 4877 DVOEXP15 TOTAL ORTHODONTIST EXP 15
4878 4882 DVOSLF15 ORTHODONTIST VISITS - SELF/FAMILY AMT 15
4883 4886 DVOMCR15 ORTHODONTIST VISITS - MEDICARE AMT 15
4887 4890 DVOMCD15 ORTHODONTIST VISITS - MEDICAID AMT 15
4891 4895 DVOPRV15 ORTHODONTIST VISITS - PRIVATE INS AMT 15
4896 4898 DVOVA15 ORTHODONTIST VISITS-VA/CHAMPVA AMT 15
4899 4902 DVOTRI15 ORTHODONTIST VISITS-TRICARE AMT 15
4903 4907 DVOOFD15 ORTHODONTIST VISITS-OTHR FED AMT 15
4908 4910 DVOSTL15 ORTHODONTIST VISITS-OTHR ST/LOCAL AMT 15
4911 4911 DVOWCP15 ORTHODONTIST VISITS-WORKERS COMP AMT 15
4912 4915 DVOOPR15 ORTHODONTIST VISITS-OTHR PRIVATE AMT 15
4916 4917 DVOOPU15 ORTHODONTIST VISITS-OTHR PUBLIC AMT 15
4918 4921 DVOOSR15 ORTHODONT VSTS - OT UNCLASS SRCE AMT 15
4922 4926 DVOPTR15 ORTHODONTIST VISITS - PRV & TRI AMT 15
4927 4931 DVOOTH15 ORTHODONTIST VISITS-OTH COMBINED AMT 15
4932 4934 HHTOTD15 # HOME HEALTH PROVIDER DAYS, 2015
4935 4937 HHAGD15 # AGENCY HOME HEALTH PROVIDER DAYS 15
4938 4943 HHATCH15 HOME HEALTH AGENCY VISIT CHARGES 15
4944 4949 HHAEXP15 TOTAL HOME HEALTH AGENCY EXP 15
4950 4954 HHASLF15 HOME HLTH AGENCY - SELF/FAMILY AMT 15
4955 4959 HHAMCR15 HOME HLTH AGENCY - MEDICARE AMT 15
4960 4965 HHAMCD15 HOME HLTH AGENCY - MEDICAID AMT 15
4966 4970 HHAPRV15 HOME HLTH AGENCY - PRIVATE INS AMT 15
4971 4974 HHAVA15 HOME HLTH AGENCY-VA/CHAMPVA AMT 15
4975 4979 HHATRI15 HOME HLTH AGENCY-TRICARE AMT 15
4980 4980 HHAOFD15 HOME HLTH AGENCY - OTHER FED AMT 15
4981 4985 HHASTL15 HOME HLTH AGENCY-OTHR ST/LOCAL AMT 15
4986 4991 HHAWCP15 HOME HLTH AGENCY - WORKERS COMP AMT 15
4992 4996 HHAOPR15 HOME HLTH AGENCY - OTH PRIVATE AMT 15
4997 5001 HHAOPU15 HOME HLTH AGENCY - OTH PUBLIC AMT 15
5002 5007 HHAOSR15 H HLTH AGENCY - OT UNCLASS SRCE AMT 15
5008 5012 HHAPTR15 HOME HLTH AGENCY - PRV & TRI AMT 15
5013 5018 HHAOTH15 HOME HLTH AGENCY - OTH COMBINED AMT 15
5019 5021 HHINDD15 # NON-AGENCY HOME HEALTH PROVIDR DAYS 15
5022 5026 HHNTCH15 HOME HEALTH NON-AGENCY VISIT CHARGES 15
DATE: July 24, 2017
5027 5031 HHNEXP15 TOTAL HOME HEALTH NON-AGNCY EXP 15

5032 5036 HHNSLF15 HOME HLTH NON-AGNCY - SELF/FAM AMT 15
5037 5041 HHNMCD15 HOME HLTH NON-AGNCY - MEDICAID AMT 15
5042 5045 HHNMCR15 HOME HLTH NON-AGNCY - MEDICARE AMT 15
5046 5050 HHNPRV15 HOME HLTH NON-AGNCY - PRIV INS AMT 15
5051 5052 HHNVA15 HOME HLTH NON-AGNCY-VA/CHAMPVA AMT 15
5053 5054 HHNTRI15 HOME HLTH NON-AGNCY-TRICARE AMT 15
5055 5055 HHNOFD15 HOME HLTH NON-AGNCY-OTHR FED AMT 15
5056 5056 HHNSTL15 HOME HLTH NON-AGNCY-OTHR ST/LOCL AMT 15
5057 5057 HHNWCP15 HOME HLTH NON-AGNCY-WORKERS COMP AMT 15
5058 5060 HHNOPR15 HOME HLTH NON-AGNCY-OTH PRIVATE AMT 15
5061 5061 HHNOPU15 HOME HLTH NON-AGNCY-OTH PUBLIC AMT 15
5062 5064 HHNOSR15 H HLTH NON-AGNCY-OT UNCLASS SRCE AMT 15
5065 5069 HHNPTR15 HOME HLTH NON-AGNCY - PRV & TRI AMT 15
5070 5072 HHNOTH15 HOME HLTH NON-AGNCY-OTH COMBINED AMT 15
5073 5075 HHINFD15 # INFORMAL HOME HEALTH PROVIDER DAYS 15
5076 5079 VISEXP15 TOTAL GLASSES/CONTACT LENS EXP 15
5080 5084 VISTCH15 GLASSES/CONTACT LENSES CHARGES 15
5085 5088 VISSLF15 GLASSES/CNTCT LENSES -SELF/FAM AMT 15
5089 5092 VISMCR15 GLASSES/CNTCT LENSES-MEDICARE AMT 15
5093 5096 VISMCD15 GLASSES/CNTCT LENSES-MEDICAID AMT 15
5097 5100 VISPRV15 GLASSES/CNTCT LENSES-PRIV INS AMT 15
5101 5104 VISVA15 GLASSES/CNTCT LENSES-VA/CHAMPVA AMT 15
5105 5107 VISTRI15 GLASSES/LENSES-TRICARE AMT 15
5108 5110 VISOFD15 GLASSES/CNTCT LENSES-OTHR FED AMT 15
5111 5113 VISSTL15 GLASSES/CNTCT LENSES-OTH ST/LOCL AMT 15
5114 5116 VISWCP15 GLASSES/CNTCT LENSES-WORKERS COMP AMT 15
5117 5120 VISOPR15 GLASSES/CNTCT LENSES-OTH PRIVATE AMT 15
5121 5123 VISOPU15 GLASSES/CNTCT LENSES-OTH PUBLIC AMT 15
5124 5127 VISOSR15 GLASES/CNTCT LENSE-OT UNCLAS SRCE AMT 15
5128 5131 VISPTR15 GLASSES/CNTCT LENSES-PRV & TRI AMT 15
5132 5135 VISOTH15 GLASSES/CNTCT LENSES-OTH COMBINED AMT 15
5136 5140 OTHTCH15 OTHER EQUP/SUPPLIES CHARGES 15
5141 5145 OTHEXP15 TOT OTHER EQUIP/SPLY (EXCL DIAB) EXP 15
5146 5150 OTHSLF15 OTHER EQUP/SUPPLIES-SELF/FAM AMT 15
5151 5155 OTHMCR15 OTHER EQUP/SUPPLIES-MEDICARE AMT 15
5156 5160 OTHMCD15 OTHER EQUP/SUPPLIES-MEDICAID AMT 15
5161 5165 OTHPRV15 OTHER EQUP/SUPPLIES-PRIV INS AMT 15
5166 5169 OTHVA15 OTHER EQUP/SUPPLY-VA/CHAMPVA AMT 15
5170 5173 OTHTRI15 OTHER EQUP/SUPPLY-TRICARE AMT 15
5174 5175 OTHOFD15 OTHER EQUP/SUPPLIES-OTHR FEDRL AMT 15
5176 5178 OTHSTL15 OTHER EQUP/SUPPLY-OTHR ST/LOCAL AMT 15
5179 5181 OTHWCP15 OTHER EQUP/SUPPLY - WORKERS COMP AMT 15
5182 5185 OTHOPR15 OTHER EQUP/SUPPLY-OTH PRIVATE AMT 15
DATE: July 24, 2017
5186 5188 OTHOPU15 OTHER EQUP/SUPPLY - OTH PUBLIC AMT 15

5189 5192 OTHOSR15 OTH EQUP/SUPLY - OT UNCLASS SRCE AMT 15
5193 5197 OTHPTR15 OTHER EQUP/SUPPLY - PRV & TRI AMT 15
5198 5201 OTHOTH15 OTHER EQUP/SUPPLY - OTH COMBINED AMT 15
5202 5204 RXTOT15 # PRESC MEDS INCL REFILLS 15
5205 5210 RXEXP15 TOTAL RX-EXP 15
5211 5215 RXSLF15 TOTAL RX-SELF/FAMILY AMT 15
5216 5221 RXMCR15 TOTAL RX-MEDICARE AMT 15
5222 5226 RXMCD15 TOTAL RX-MEDICAID AMT 15
5227 5232 RXPRV15 TOTAL RX-PRIVATE INS AMT 15
5233 5237 RXVA15 TOTAL RX-VA/CHAMPVA AMT 15
5238 5242 RXTRI15 TOTAL RX-TRICARE AMT 15
5243 5247 RXOFD15 TOTAL RX-OTHER FED AMT 15
5248 5252 RXSTL15 TOTAL RX-OTHER ST/LOCAL AMT 15
5253 5257 RXWCP15 TOTAL RX-WORKERS COMP AMT 15
5258 5262 RXOPR15 TOTAL RX-OTH PRIVATE AMT 15
5263 5267 RXOPU15 TOTAL RX-OTH PUBLIC AMT 15
5268 5272 RXOSR15 TOT RX-OTH UNCLASS SRCE AMT 15
5273 5278 RXPTR15 TOTAL RX-PRV & TRI AMT 15
5279 5283 RXOTH15 TOTAL RX-OTH COMBINED AMT 15
5284 5295 PERWT15F FINAL PERSON WEIGHT, 2015
5296 5307 FAMWT15F FINAL FAMILY WEIGHT, 2015
5308 5319 FAMWT15C POV ADJ FAMILY WGT-CPS FAM ON 12/31/15
5320 5332 SAQWT15F FINAL SAQ PERSON WEIGHT, 2015
5333 5344 DIABW15F FINAL DIABETES CARE SUPPLEMENT WEIGHT
5345 5348 VARSTR VARIANCE ESTIMATION STRATUM - 2015
5349 5349 VARPSU VARIANCE ESTIMATION PSU - 2015
DATE: July 24, 2017
NAME DESCRIPTION FORMAT TYPE START END
DUID DWELLING UNIT ID 5.0 NUM 1 5
VALUE UNWEIGHTED WEIGHTED BY PERWT15F
60001 - 80571 DUID 35,427 321,423,251

TOTAL 35,427 321,423,251
PID PERSON NUMBER 3.0 NUM 6 8
101 - 701 PID 35,427 321,423,251

TOTAL 35,427 321,423,251
DUPERSID PERSON ID (DUID + PID) 8.0 CHAR 9 16
60001101 - 80571103 DUPERSID 35,427 321,423,251

TOTAL 35,427 321,423,251
PANEL PANEL NUMBER 2.0 NUM 17 18
19 PANEL 19 16,578 147,284,343

20 PANEL 20 18,849 174,138,908
TOTAL 35,427 321,423,251
DATE: July 24, 2017
FAMID31 FAMILY ID (STUDENT MERGED IN) - R3/1 2.0 CHAR 19 20
0 NON-RESPONSE 985 3,499,272

A FAMILY LETTER = A 32,512 302,676,910
B FAMILY LETTER = B 1,641 12,976,182
C FAMILY LETTER = C 232 1,865,776
D FAMILY LETTER = D 48 343,623
E FAMILY LETTER = E 6 41,790
F FAMILY LETTER = F 2 15,309
G FAMILY LETTER = G 1 4,388
TOTAL 35,427 321,423,251
0 NON-RESPONSE 498 2,375,388

A FAMILY LETTER = A 32,519 300,784,812
B FAMILY LETTER = B 2,010 15,285,229
TOTAL 35,427 321,423,251
0 NON-RESPONSE 234 2,672,017

A FAMILY LETTER = A 32,491 299,086,896
B FAMILY LETTER = B 2,232 16,316,810
TOTAL 35,427 321,423,251
DATE: July 24, 2017
FAMID15 FAMILY ID (STUDENT MERGED IN) - 12/31/15 2.0 CHAR 25 26
0 NON-RESPONSE 234 2,672,017

A FAMILY LETTER = A 32,491 299,086,896
B FAMILY LETTER = B 2,232 16,316,810
TOTAL 35,427 321,423,251
FAMIDYR ANNUAL FAMILY IDENTIFIER 2.0 CHAR 27 28
A FAMILY LETTER = A 32,719 301,701,609

B FAMILY LETTER = B 2,241 16,379,614
TOTAL 35,427 321,423,251
CPSFAMID CPSFAMID 2.0 CHAR 29 30
A CPS FAMILY UNIT A 31,279 293,430,353

B CPS FAMILY UNIT B 3,309 23,425,746
C CPS FAMILY UNIT C 607 3,440,811
D CPS FAMILY UNIT D 185 1,033,747
E CPS FAMILY UNIT E 34 57,242
F CPS FAMILY UNIT F 9 30,963
G CPS FAMILY UNIT G 2 4,388
H CPS FAMILY UNIT H 1 0
I CPS FAMILY UNIT I 1 0
TOTAL 35,427 321,423,251
DATE: July 24, 2017
FCSZ1231 FAM SIZE RESPONDING 12/31 CPS FAMILY 2.0 NUM 31 32
-1 INAPPLICABLE 1,572 12,717,869

1 - 15 NUMBER OF PERSONS 33,855 308,705,382
TOTAL 35,427 321,423,251
FCRP1231 REF PERSON OF 12/31 CPS FAMILY 2.0 NUM 33 34
-1 INAPP, NOT MEM OF 12/31 FAMILY 411 1,655,761

0 NOT A REFERENCE PERSON 20,135 170,580,910
1 REFERENCE PERSON 14,881 149,186,580
TOTAL 35,427 321,423,251
RULETR31 RU LETTER - R3/1 2.0 CHAR 35 36
-1 INAPPLICABLE 983 3,476,051

A RU LETTER A 32,378 301,050,240
B RU LETTER B 1,764 14,470,148
C RU LETTER C 245 2,021,701
D RU LETTER D 48 343,623
E RU LETTER E 6 41,790
F RU LETTER F 2 15,309
G RU LETTER G 1 4,388
TOTAL 35,427 321,423,251
DATE: July 24, 2017

A RU LETTER A 32,356 298,709,118
B RU LETTER B 2,149 17,048,703
C RU LETTER C 328 2,653,527
TOTAL 35,427 321,423,251

A RU LETTER A 32,323 296,989,829
B RU LETTER B 2,383 18,199,134
C RU LETTER C 384 2,912,552
TOTAL 35,427 321,423,251
RULETR15 RU LETTER AS OF 12/31/15 2.0 CHAR 41 42
A RU LETTER A 32,537 299,470,778

B RU LETTER B 2,393 18,269,298
C RU LETTER C 385 2,919,037
TOTAL 35,427 321,423,251
DATE: July 24, 2017
RUSIZE31 RU SIZE - R3/1 2.0 NUM 43 44

1 PERSON IN RU 4,546 48,715,956
2 PERSONS IN RU 7,313 83,987,305
3 PERSONS IN RU 6,191 58,035,264
4 PERSONS IN RU 7,413 65,540,010
5 PERSONS IN RU 4,890 37,561,139
6 PERSONS IN RU 2,357 14,798,107
7 PERSONS IN RU 979 5,674,432
8 PERSONS IN RU 402 1,700,050
9 PERSONS IN RU 191 966,261
TOTAL 35,427 321,423,251

1 PERSON IN RU 4,715 50,588,876
2 PERSONS IN RU 7,516 84,442,772
3 PERSONS IN RU 6,268 56,995,200
4 PERSONS IN RU 7,391 65,947,816
5 PERSONS IN RU 4,979 37,470,605
6 PERSONS IN RU 2,370 14,757,837
7 PERSONS IN RU 924 5,100,125
8 PERSONS IN RU 400 1,787,145
TOTAL 35,427 321,423,251
DATE: July 24, 2017

1 PERSON IN RU 4,791 50,995,120
2 PERSONS IN RU 7,612 84,391,263
3 PERSONS IN RU 6,345 56,675,760
4 PERSONS IN RU 7,351 65,111,932
5 PERSONS IN RU 4,942 37,658,226
6 PERSONS IN RU 2,466 15,095,006
7 PERSONS IN RU 891 4,801,440
8 PERSONS IN RU 377 1,862,509
10 PERSONS IN RU 112 569,452
TOTAL 35,427 321,423,251
RUSIZE15 RU SIZE AS OF 12/31/15 2.0 NUM 49 50

1 PERSON IN RU 4,807 51,133,442
2 PERSONS IN RU 7,644 84,693,632
3 PERSONS IN RU 6,370 57,053,285
4 PERSONS IN RU 7,336 64,697,334
5 PERSONS IN RU 4,936 37,591,688
6 PERSONS IN RU 2,433 14,852,121
7 PERSONS IN RU 879 4,745,920
8 PERSONS IN RU 379 1,859,381
10 PERSONS IN RU 112 569,452
TOTAL 35,427 321,423,251
DATE: July 24, 2017
RUCLAS31 RU FIELDED AS:STANDARD/NEW/STUDENT-R3/1 2.0 NUM 51 52

1 STANDARD RU 33,589 310,434,649
2 NEW RU 719 5,862,661
3 STUDENT RU 136 1,649,891
TOTAL 35,427 321,423,251

1 STANDARD RU 34,333 314,056,883
2 NEW RU 432 2,915,285
3 STUDENT RU 166 2,110,345
TOTAL 35,427 321,423,251

1 STANDARD RU 34,776 314,988,595
2 NEW RU 249 1,665,572
3 STUDENT RU 177 2,211,487
TOTAL 35,427 321,423,251
RUCLAS15 RU FIELDED AS:STANDARD/NEW/STUD-12/31/15 1.0 NUM 57 57
1 STANDARD RU 35,001 317,546,193

2 NEW RU 249 1,665,572
3 STUDENT RU 177 2,211,487
TOTAL 35,427 321,423,251
DATE: July 24, 2017
FAMSZE31 RU SIZE INCLUDING STUDENTS - R3/1 2.0 NUM 58 59

1 PERSON 4,389 46,836,400
2 PERSONS 7,263 83,145,591
3 PERSONS 6,212 58,508,464
4 PERSONS 7,494 66,721,123
5 PERSONS 4,955 38,209,888
6 PERSONS 2,386 15,138,923
7 PERSONS 976 5,686,964
8 PERSONS 387 1,642,193
9 PERSONS 218 1,065,756
10 PERSONS 60 367,750
11 PERSONS 22 72,626
12 PERSONS 12 34,743
13 PERSONS 39 358,848
15 PERSONS 15 34,764
TOTAL 35,427 321,423,251

1 PERSON 4,522 48,191,865
2 PERSONS 7,468 83,662,005
3 PERSONS 6,282 57,531,749
4 PERSONS 7,471 66,850,374
5 PERSONS 5,070 38,632,531
6 PERSONS 2,421 15,290,336
7 PERSONS 924 5,100,125
8 PERSONS 376 1,697,244
9 PERSONS 223 1,036,505
10 PERSONS 78 405,912
11 PERSONS 33 191,573
12 PERSONS 12 34,743
13 PERSONS 26 208,864
15 PERSONS 15 34,764
TOTAL 35,427 321,423,251
DATE: July 24, 2017

1 PERSON 4,589 48,486,310
2 PERSONS 7,549 83,491,760
3 PERSONS 6,369 57,292,867
4 PERSONS 7,419 66,017,163
5 PERSONS 5,062 39,008,646
6 PERSONS 2,507 15,506,548
7 PERSONS 891 4,801,440
8 PERSONS 369 1,846,165
9 PERSONS 198 873,228
10 PERSONS 132 658,388
11 PERSONS 45 204,435
12 PERSONS 12 34,743
13 PERSONS 26 208,864
15 PERSONS 15 34,764
TOTAL 35,427 321,423,251
FAMSZE15 RU SIZE INCLUDING STUDENT AS OF 12/31/15 2.0 NUM 64 65

1 - 15 PERSONS 35,183 318,465,322
TOTAL 35,427 321,423,251
FMRS1231 MEMBER OF RESPONDING 12/31 FAMILY 2.0 NUM 66 67

0 NONRESPONDING 12/31 FAMILY 780 7,858,512
1 RESPONDING 12/31 FAMILY 34,163 308,769,795
TOTAL 35,427 321,423,251
DATE: July 24, 2017
FAMS1231 FAMILY SIZE OF RESPONDING 12/31 FAMILY 2.0 NUM 68 69
-1 INAPPLICABLE 1,264 12,653,456

TOTAL 35,427 321,423,251
FAMSZEYR SIZE OF RESPONDING ANNUALIZED FAMILY 2.0 NUM 70 71

TOTAL 35,427 321,423,251
FAMRFPYR REFERENCE PERSON OF ANNUALIZED FAMILY 1.0 NUM 72 72
0 NOT A REFERENCE PERSON 21,277 176,385,740

1 REFERENCE PERSON 14,150 145,037,511
TOTAL 35,427 321,423,251
REGION31 CENSUS REGION - R3/1 2.0 NUM 73 74

1 NORTHEAST 5,186 56,162,873
2 MIDWEST 6,394 67,674,426
3 SOUTH 13,157 119,037,645
4 WEST 9,693 74,972,312
TOTAL 35,427 321,423,251
DATE: July 24, 2017

1 NORTHEAST 5,220 55,993,296
2 MIDWEST 6,497 67,677,715
3 SOUTH 13,421 119,975,384
4 WEST 9,785 75,256,846
TOTAL 35,427 321,423,251

1 NORTHEAST 5,252 55,893,738
2 MIDWEST 6,548 67,262,286
3 SOUTH 13,507 119,856,235
4 WEST 9,885 75,567,482
TOTAL 35,427 321,423,251
REGION15 CENSUS REGION AS OF 12/31/15 2.0 NUM 79 80

1 NORTHEAST 5,252 55,893,738
2 MIDWEST 6,548 67,262,286
3 SOUTH 13,507 119,856,235
4 WEST 9,885 75,567,482
TOTAL 35,427 321,423,251
REFPRS31 REFERENCE PERSON AT - R3/1 3.0 NUM 81 83

101 - 999 PID 34,445 317,964,270
TOTAL 35,427 321,423,251
DATE: July 24, 2017

101 - 999 PID 34,932 319,095,041
TOTAL 35,427 321,423,251

101 - 999 PID 35,212 319,155,718
TOTAL 35,427 321,423,251
REFPRS15 REFERENCE PERSON AS OF 12/31/15 3.0 NUM 90 92
101 - 999 PID 35,427 321,423,251

TOTAL 35,427 321,423,251
RESP31 1ST RESPONDENT INDICATOR FOR R3/1 1.0 NUM 93 93
0 NON-RESPONSE 982 3,458,981

1 YES, FIRST RESPONDENT 13,895 141,828,033
2 NO, NOT FIRST RESPONDENT 20,550 176,136,236
TOTAL 35,427 321,423,251
0 NON-RESPONSE 495 2,328,210

TOTAL 35,427 321,423,251
DATE: July 24, 2017
0 NON-RESPONSE 215 2,267,533

TOTAL 35,427 321,423,251
RESP15 1ST RESPONDENT INDICATOR AS OF 12/31/15 1.0 NUM 96 96

TOTAL 35,427 321,423,251
PROXY31 WAS RESPONDENT A PROXY IN R3/1 2.0 NUM 97 98
-1 NON-RESPONSE 982 3,458,981

1 RESPONDENT IS RU MEMBER 34,308 316,558,328
2 RESPONDENT IS A PROXY 137 1,405,942
TOTAL 35,427 321,423,251
-1 NON-RESPONSE 495 2,328,210

TOTAL 35,427 321,423,251
DATE: July 24, 2017
-1 NON-RESPONSE 215 2,267,533

TOTAL 35,427 321,423,251
PROXY15 WAS RESPONDENT A PROXY AS OF 12/31/15 1.0 NUM 103 103

TOTAL 35,427 321,423,251
INTVLANG LANGUAGE INTERVIEW WAS COMPLETED 2.0 NUM 104 105
1 ENGLISH 28,486 292,080,215

2 SPANISH 5,702 23,290,048
3 ENGLISH & SPANISH 915 4,202,310
91 OTHER 324 1,850,678
TOTAL 35,427 321,423,251
DATE: July 24, 2017
BEGRFM31 R3/1 REFERENCE PERIOD BEGIN DATE: MONTH 2.0 NUM 106 107
-9 NOT ASCERTAINED 16 0
-8 DK 8 11,648
-7 REFUSED 14 0
1 JANUARY 18,193 171,893,471
2 FEBRUARY 42 197,574
3 MARCH 36 253,515
4 APRIL 21 98,813
5 MAY 12 96,188
6 JUNE 1 9,873
7 JULY 1,115 9,733,508
8 AUGUST 6,862 60,626,682
9 SEPTEMBER 5,370 49,455,235
10 OCTOBER 2,039 19,486,236
11 NOVEMBER 574 4,513,420
12 DECEMBER 127 1,471,093
TOTAL 35,427 321,423,251
BEGRFY31 R3/1 REFERENCE PERIOD BEGIN DATE: YEAR 4.0 NUM 108 111

2014 YEAR 16,088 145,286,175
2015 YEAR 18,342 172,561,081
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ENDRFM31 R3/1 REFERENCE PERIOD END DATE: MONTH 2.0 NUM 112 113

1 JANUARY 4,722 40,896,398
2 FEBRUARY 9,794 88,414,284
3 MARCH 9,361 85,841,726
4 APRIL 5,059 47,213,954
5 MAY 2,934 28,055,181
6 JUNE 1,970 20,391,271
7 JULY 590 7,034,442
TOTAL 35,427 321,423,251
ENDRFY31 R3/1 REFERENCE PERIOD END DATE: YEAR 4.0 NUM 114 117

2015 YEAR 34,430 317,847,256
TOTAL 35,427 321,423,251
-8 DK 5 0
-7 REFUSED 4 0
1 JANUARY 4,708 40,592,470
2 FEBRUARY 9,823 88,255,166
3 MARCH 9,408 85,931,708
4 APRIL 5,127 47,284,619
5 MAY 3,007 28,245,671
6 JUNE 2,081 20,831,681
7 JULY 670 7,313,422
8 AUGUST 51 277,531
9 SEPTEMBER 20 141,293
10 OCTOBER 6 4,412
11 NOVEMBER 6 25,270
TOTAL 35,427 321,423,251
DATE: July 24, 2017

2015 YEAR 34,923 318,903,242
TOTAL 35,427 321,423,251
-8 DK 1 0
1 JANUARY 1 17,560
2 FEBRUARY 7 136,429
3 MARCH 13 202,191
4 APRIL 24 299,428
5 MAY 20 225,601
6 JUNE 30 283,848
7 JULY 8,483 70,687,237
8 AUGUST 11,430 104,937,575
9 SEPTEMBER 8,934 84,075,921
10 OCTOBER 4,161 40,548,772
11 NOVEMBER 1,619 15,891,787
12 DECEMBER 199 1,596,893
TOTAL 35,427 321,423,251

2015 YEAR 34,923 318,903,242
TOTAL 35,427 321,423,251
DATE: July 24, 2017
-8 DK 5 0
-7 REFUSED 1 0
7 JULY 8,482 70,404,638
8 AUGUST 11,484 105,003,001
9 SEPTEMBER 8,994 84,162,072
10 OCTOBER 4,269 40,895,175
11 NOVEMBER 1,697 16,193,867
12 DECEMBER 256 1,920,988
TOTAL 35,427 321,423,251

2015 YEAR 35,192 318,579,741
TOTAL 35,427 321,423,251

1 JANUARY 3,981 32,483,655
2 FEBRUARY 5,504 50,710,142
3 MARCH 4,523 42,143,571
4 APRIL 2,534 24,834,965
5 MAY 1,322 13,119,382
6 JUNE 788 8,495,335
7 JULY 1 3,880
8 AUGUST 13 102,342
10 OCTOBER 18 131,618
11 NOVEMBER 21 297,035
12 DECEMBER 16,471 146,104,020
TOTAL 35,427 321,423,251
DATE: July 24, 2017

2015 YEAR 16,540 146,792,690
2016 YEAR 18,652 171,787,050
TOTAL 35,427 321,423,251
ENDRFM15 2015 REFERENCE PERIOD END DATE: MONTH 2.0 NUM 142 143
-8 DK 1 0
1 JANUARY 29 360,865
2 FEBRUARY 26 423,030
3 MARCH 25 318,741
4 APRIL 34 439,241
5 MAY 26 326,188
6 JUNE 33 301,759
7 JULY 30 319,269
8 AUGUST 36 335,363
10 OCTOBER 18 131,618
11 NOVEMBER 21 297,035
12 DECEMBER 35,123 317,891,070
TOTAL 35,427 321,423,251
ENDRFY15 2015 REFERENCE PERIOD END DATE: YEAR 4.0 NUM 144 147
2015 YEAR 35,427 321,423,251

TOTAL 35,427 321,423,251
DATE: July 24, 2017
KEYNESS PERSON KEY STATUS 1.0 NUM 148 148
1 KEY 33,925 321,423,251

2 NOT KEY 1,502 0
TOTAL 35,427 321,423,251
INSCOP31 INSCOPE - R3/1 1.0 NUM 149 149
0 INCOR LISTED/OUT-OF-SCOPE PRIOR 1/1/15 3 9,845

1 INSCOPE FOR WHOLE REFERENCE PERIOD 34,214 315,749,041
2 INSCOPE AT START OF REF PER, NOT END 83 1,160,269
3 NOT INSCOPE STRT REF PER, INSCOPE END 97 860,474
5 MEM OF RU BUT OUT-OF-SCOPE ALL REF PER 36 77,471
6 OUT-OF-SCOPE IN RU DURING THIS ROUND 11 116,452
7 NOT IN RU, JOINED IN LATER ROUND 970 3,449,698
9 NOT IN MEPS RU NOW, PREVIOUSLY A MEMBER 13 0
TOTAL 35,427 321,423,251
0 INCOR LISTED/OUT-OF-SCOPE PRIOR 1/1/15 1 3,071

3 NOT INSCOPE STRT REF PER, INSCOPE END 229 2,237,137
6 OUT-OF-SCOPE IN RU DURING THIS ROUND 79 1,056,871
7 NOT IN RU, JOINED IN LATER ROUND 414 1,413,364
8 RU NON-RESPONSE 1 0
9 NOT IN MEPS RU NOW, PREVIOUSLY A MEMBER 9 46,703
TOTAL 35,427 321,423,251
DATE: July 24, 2017

TOTAL 35,427 321,423,251
INSCOP15 INSCOPE - R5/3 START THROUGH 12/31/15 1.0 NUM 152 152

2 INSCOPE AT START OF REF PER, NOT END 95 929,784
TOTAL 35,427 321,423,251
INSC1231 INSCOPE STATUS ON 12/31/15 1.0 NUM 153 153
1 IN-SCOPE ON 12/31/2015 35,067 317,629,239

2 NOT IN-SCOPE ON 12/31/2015 360 3,794,012
TOTAL 35,427 321,423,251
DATE: July 24, 2017
INSCOPE WAS PERSON EVER INSCOPE IN 2015 1.0 NUM 154 154
0 NOT RECORDED AS BEING INSCOPE 1 0

1 INSCOPE AT SOME TIME DURING 2015 35,395 321,423,251
2 OUT-OF-SCOPE FOR ALL OF 2015 31 0
TOTAL 35,427 321,423,251
ELGRND31 ELIGIBILITY - R3/1 1.0 NUM 155 155
1 PERSON IS ELIGIBLE 34,430 317,847,256

3 PERSON IS NOT ELIGIBLE 27 126,297
4 PERSON IS NOT IN AN RU 970 3,449,698
TOTAL 35,427 321,423,251

2 PERSON IS IN NON-RESPONDING RU 1 0
3 PERSON IS NOT ELIGIBLE 89 1,106,645
4 PERSON IS NOT IN AN RU 414 1,413,364
TOTAL 35,427 321,423,251

TOTAL 35,427 321,423,251
DATE: July 24, 2017
ELGRND15 ELIGIBILITY STATUS AS OF 12/31/15 1.0 NUM 158 158

TOTAL 35,427 321,423,251
PSTATS31 PERSON DISPOSITION STATUS - R3/1 2.0 NUM 159 160
-1 NOT FIELDED/NON-RESPONSE RU 982 3,458,981

11 PERSON IN HOUSEHLD, NOT FT ACTIVE MIL 32,685 304,663,120
12 IN HOUSEHLD, FT MIL DUTY-OUT-SCOPE 33 58,170
13 FT STUD LIVING AWAY FROM HOME 136 1,649,891
14 IN ORIG HH, FT ACTIVE DUTY-INSCOPE 6 101,511
21 INSTITUTIONALIZED WHOLE RD: 4/2, 5/3 1 17,070
31 DECEASED 49 634,439
32 INSTITUTIONALIZED IN HEALTH CARE FAC 6 205,779
33 INSTITUTIONALIZED NON-HEALTH CARE FAC 6 63,600
34 MOVED OUTSIDE U.S., NOT AS STUDENT 16 119,209
35 MOVED, FT ACTIVE DUTY 3 62,134
41 MOVED WITHIN U.S. 472 4,395,212
42 PERSON WHO JOINED RU 742 3,545,325
44 JOINS ANOTHER RU, & IS INSCOPE 34 243,307
51 NEWBORN IN REF PERIOD 242 2,105,558
62 INSTITUT PRIOR TO REF PER-R3/1 8 93,360
63 LEFT U.S. PRIOR TO REF PER-R3/1 2 6,585
72 INELIG NON-KEY/RESIDENCY SCHL YR ONLY 1 0
73 NONKEY, NOT FT MIL, MOVED W/OUT KEY 3 0
TOTAL 35,427 321,423,251
DATE: July 24, 2017

22 LEAVE INSTITUTION ROUND: 4/2, 5/3 7 68,064
31 DECEASED 82 809,751
41 MOVED WITHIN U.S. 368 2,839,221
42 PERSON WHO JOINED RU 356 225,269
73 NONKEY, NOT FT MIL, MOVED W/OUT KEY 1 0
74 MOVED AS FT MIL, NOT TO FAC, W/O KEY 4 46,703
81 MOVED, FT STUD, NO RESP, DATA IMPUTED 1 0
TOTAL 35,427 321,423,251
DATE: July 24, 2017

22 LEAVE INSTITUTION ROUND: 4/2, 5/3 4 62,685
31 DECEASED 83 873,136
41 MOVED WITHIN U.S. 233 1,628,870
42 PERSON WHO JOINED RU 278 168,928
74 MOVED AS FT MIL, NOT TO FAC, W/O KEY 2 4,722
81 MOVED, FT STUD, NO RESP, DATA IMPUTED 1 0
TOTAL 35,427 321,423,251
RURSLT31 RU RESULT - R3/1 2.0 CHAR 165 166

60 COMPLETE WITH RU MEMBER 34,302 316,507,773
61 CO W/PROXY-ALL RU MEM DECEASED 14 161,270
62 CO W/PROXY-ALL RU MEM INST'D/DECEASED 6 127,986
63 COMPLETE WITH PROXY-OTHER 122 1,150,171
72 RU INSTITU'D IN PRIOR RD; STILL INST'D 1 17,070
TOTAL 35,427 321,423,251
DATE: July 24, 2017

71 REENUM COMPL; NO ELIG RU MEM; INELIG 2 87,447
91 FINAL REFUSAL 1 0
TOTAL 35,427 321,423,251

71 REENUM COMPL; NO ELIG RU MEM; INELIG 2 67,846
91 FINAL REFUSAL 1 0
TOTAL 35,427 321,423,251
AGE31X AGE - R3/1 (EDITED/IMPUTED) 2.0 NUM 171 172

0 - 4 AGE 2,440 20,168,597
5 - 17 AGE 7,101 54,092,634
18 - 24 AGE 3,211 30,122,604
25 - 44 AGE 9,163 82,975,115
45 - 64 AGE 8,361 84,213,513
65 - 85 AGE 4,154 46,274,792
TOTAL 35,427 321,423,251
DATE: July 24, 2017

0 - 4 AGE 2,429 20,125,239
5 - 17 AGE 7,179 54,086,745
18 - 24 AGE 3,282 29,462,332
25 - 44 AGE 9,281 83,740,506
45 - 64 AGE 8,446 83,977,133
65 - 85 AGE 4,306 47,511,287
TOTAL 35,427 321,423,251

0 - 4 AGE 2,331 19,500,474
5 - 17 AGE 7,232 54,115,366
18 - 24 AGE 3,330 29,295,725
25 - 44 AGE 9,381 83,439,687
45 - 64 AGE 8,521 83,942,064
65 - 85 AGE 4,397 48,286,425
TOTAL 35,427 321,423,251
AGE15X AGE AS OF 12/31/15(EDITED/IMPUTED) 2.0 NUM 177 178

0 - 4 AGE 2,382 19,910,883
5 - 17 AGE 7,233 54,153,694
18 - 24 AGE 3,328 29,255,673
25 - 44 AGE 9,382 83,602,939
45 - 64 AGE 8,500 83,709,647
65 - 85 AGE 4,367 47,946,905
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AGELAST PERSON'S AGE LAST TIME ELIGIBLE 2.0 NUM 179 180
0 - 4 AGE 2,383 19,922,751

5 - 17 AGE 7,245 54,255,118
18 - 24 AGE 3,352 29,497,186
25 - 44 AGE 9,418 83,908,842
45 - 64 AGE 8,548 84,246,018
65 - 85 AGE 4,481 49,593,336
TOTAL 35,427 321,423,251
DOBMM DATE OF BIRTH: MONTH 2.0 NUM 181 182
1 JANUARY 3,051 26,866,436

2 FEBRUARY 2,689 23,888,893
3 MARCH 2,878 26,987,584
4 APRIL 2,767 26,063,632
5 MAY 2,866 26,249,045
6 JUNE 2,878 25,919,952
7 JULY 3,128 28,328,306
8 AUGUST 3,047 27,672,581
9 SEPTEMBER 3,080 27,401,007
10 OCTOBER 3,056 28,345,851
11 NOVEMBER 2,896 26,119,092
12 DECEMBER 3,091 27,580,874
TOTAL 35,427 321,423,251
DOBYY DATE OF BIRTH: YEAR 4.0 NUM 183 186
1930 - 2015 YEAR 35,427 321,423,251

TOTAL 35,427 321,423,251
DATE: July 24, 2017
SEX SEX 1.0 NUM 187 187
1 MALE 17,013 157,168,349

2 FEMALE 18,414 164,254,902
TOTAL 35,427 321,423,251
RACEV1X RACE (EDITED/IMPUTED) 1.0 NUM 188 188
1 WHITE - NO OTHER RACE REPORTED 23,889 246,695,427

2 BLACK - NO OTHER RACE REPORTED 7,124 40,644,939
3 AMER INDIAN/ALASKA NATIVE-NO OTHER RACE 360 2,965,867
4 ASIAN/NATV HAWAIIAN/PACFC ISL-NO OTH 2,654 19,032,310
6 MULTIPLE RACES REPORTED 1,400 12,084,708
TOTAL 35,427 321,423,251
RACEV2X RACE (EDITED/IMPUTED) 2.0 NUM 189 190

3 AMER INDIAN/ALASKA NATIVE-NO OTHER RACE 360 2,965,867
4 ASIAN INDIAN - NO OTHER RACE REPORTED 551 4,437,331
5 CHINESE - NO OTHER RACE REPORTED 599 4,212,231
6 FILIPINO - NO OTHER RACE REPORTED 427 2,709,345
10 OTH ASIAN/NATV HAWAIIAN/PACFC ISL-NO OTH 1,009 7,266,224
12 MULTIPLE RACES REPORTED 1,468 12,491,887
TOTAL 35,427 321,423,251
RACEAX ASIAN AMONG RACES RPTD (EDITED/IMPUTED) 1.0 NUM 191 191
1 ASIAN - NO OTHER RACE REPORTED 2,562 18,221,118

2 ASIAN - OTHER RACE(S) REPORTED 391 3,487,409
3 ALL OTHER RACE ASSIGNMENTS 32,474 299,714,724
TOTAL 35,427 321,423,251
DATE: July 24, 2017
RACEBX BLACK AMONG RACES RPTD (EDITED/IMPUTED) 1.0 NUM 192 192

2 BLACK - OTHER RACE(S) REPORTED 728 5,186,278
TOTAL 35,427 321,423,251
RACEWX WHITE AMONG RACES RPTD (EDITED/IMPUTED) 1.0 NUM 193 193

2 WHITE - OTHER RACE(S) REPORTED 1,204 10,808,751
TOTAL 35,427 321,423,251
RACETHX RACE/ETHNICITY (EDITED/IMPUTED) 1.0 NUM 194 194
1 HISPANIC 11,527 57,063,251

2 NON-HISPANIC WHITE ONLY 13,147 194,013,304
3 NON-HISPANIC BLACK ONLY 6,901 39,532,988
4 NON-HISPANIC ASIAN ONLY 2,511 17,835,787
5 NON-HISPANIC OTHER RACE OR MULTIPLE RACE 1,341 12,977,919
TOTAL 35,427 321,423,251
HISPANX HISPANIC ETHNICITY (EDITED/IMPUTED) 1.0 NUM 195 195
1 HISPANIC 11,527 57,063,251

2 NOT HISPANIC 23,900 264,360,000
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HISPNCAT HISPANIC ETHNICITY (EDITED/IMPUTED) 1.0 NUM 196 196
1 MEXICAN/MEX AMER/CHICANO-NO OTHER HISP 7,410 35,574,230

2 PUERTO RICAN -NO OTHER HISP REPORTED 892 4,807,374
3 CUBAN/CUBAN AMERICAN -NO OTHER HISP RPTD 446 2,220,461
4 DOMINICAN -NO OTHER HISP REPORTED 434 1,928,285
5 CENTRAL OR SOUTH AMERICAN -NO OTHER HISP 1,714 8,798,407
6 OTH LAT AM/HISP/LATINO/SPNSH ORGN-NO OTH 383 2,557,878
8 MULTIPLE HISPANIC GROUPS REPORTED 248 1,176,616
9 NON-HISPANIC 23,900 264,360,000
TOTAL 35,427 321,423,251
MARRY31X MARITAL STATUS - R3/1 (EDITED/IMPUTED) 2.0 NUM 197 198
-8 DK 2 8,709
-7 REFUSED 4 0
1 MARRIED 11,407 125,437,278
2 WIDOWED 1,360 13,036,458
3 DIVORCED 2,363 21,764,684
4 SEPARATED 546 3,369,861
5 NEVER MARRIED 9,027 77,986,229
6 UNDER 16 - INAPPLICABLE 8,525 65,828,218
7 MARRIED IN ROUND 378 3,499,925
8 WIDOWED IN ROUND 137 1,299,911
9 DIVORCED IN ROUND 443 3,824,365
10 SEPARATED IN ROUND 242 1,881,717
TOTAL 35,427 321,423,251
DATE: July 24, 2017
-8 DK 4 8,709
-7 REFUSED 1 0
1 MARRIED 11,697 127,312,677
2 WIDOWED 1,497 14,037,830
3 DIVORCED 2,781 25,017,573
4 SEPARATED 708 4,411,390
5 NEVER MARRIED 9,219 78,358,110
8 WIDOWED IN ROUND 40 393,092
9 DIVORCED IN ROUND 96 850,538
10 SEPARATED IN ROUND 81 694,720
TOTAL 35,427 321,423,251
-8 DK 1 0
-7 REFUSED 4 0
1 MARRIED 11,874 128,182,202
2 WIDOWED 1,500 13,882,433
3 DIVORCED 2,837 25,312,954
4 SEPARATED 724 4,412,855
5 NEVER MARRIED 9,397 78,845,878
8 WIDOWED IN ROUND 29 288,351
9 DIVORCED IN ROUND 74 779,951
10 SEPARATED IN ROUND 54 349,121
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MARRY15X MARITAL STATUS-12/31/15 (EDITED/IMPUTED) 2.0 NUM 203 204
-8 DK 2 0
-7 REFUSED 3 0
1 MARRIED 12,144 131,000,856
2 WIDOWED 1,577 14,938,789
3 DIVORCED 2,937 26,391,181
4 SEPARATED 787 4,817,559
5 NEVER MARRIED 9,462 79,493,465
TOTAL 35,427 321,423,251
SPOUID31 SPOUSE ID - R3/1 3.0 NUM 205 207

101 - 900 VALID SPOUSE ID 11,501 127,114,287
995 NO SPOUSE IN HOUSE 14,402 124,986,142
996 MARITAL STATUS UNKNOWN 10 8,709
997 LESS THAN 16 YRS OLD 8,525 65,828,218
TOTAL 35,427 321,423,251

101 - 900 VALID SPOUSE ID 11,622 127,491,992
996 MARITAL STATUS UNKNOWN 11 8,709
997 LESS THAN 16 YRS OLD 8,571 65,618,629
TOTAL 35,427 321,423,251
DATE: July 24, 2017

101 - 900 VALID SPOUSE ID 11,733 127,711,194
996 MARITAL STATUS UNKNOWN 8 0
997 LESS THAN 16 YEARS OLD 8,501 64,675,075
TOTAL 35,427 321,423,251
SPOUID15 SPOUSE ID - 12/31/15 3.0 NUM 214 216
101 - 900 VALID SPOUSE ID 11,805 128,677,970

996 MARITAL STATUS UNKNOWN 9 0
997 LESS THAN 16 YRS OLD 8,511 64,781,400
TOTAL 35,427 321,423,251
SPOUIN31 MARITAL STATUS W/SPOUSE PRESENT-R3/1 2.0 NUM 217 218
-9 NOT ASCERTAINED 10 8,709

1 SPOUSE IN THE HOUSE 11,501 127,114,287
2 NOT MARRIED/NO SPOUSE 14,402 124,986,142
TOTAL 35,427 321,423,251
DATE: July 24, 2017

TOTAL 35,427 321,423,251
TOTAL 35,427 321,423,251
SPOUIN15 MARITAL STATUS W/SPOUSE PRESENT-12/31/15 2.0 NUM 223 224
TOTAL 35,427 321,423,251
DATE: July 24, 2017
EDUYRDG YEAR OF EDUCATION OR HIGHEST DEGREE 2.0 NUM 225 226

-8 DK 89 541,585
-7 REFUSED 5 17,822
-1 INAPPLICABLE 19,493 176,596,571
1 LESS THAN/EQUAL TO 8TH GRADE 3,604 24,307,132
2 9-12TH GRADE, NO HIGH SCHOOL DIPLOMA 2,174 15,868,068
3 GED OR EQUIVALENT 483 4,270,985
4 HIGH SCHOOL DIPLOMA 2,376 22,833,482
5 SOME COLLEGE, NO DEGREE 2,208 22,462,335
6 ASSOC DEG: OCCUPATIONAL,TECH,VOCATIONAL 714 7,213,391
7 ASSOCIATE DEGREE: ACADEMIC PROGRAM 459 4,957,305
8 BACHELOR'S DEGREE (BA,AB,BS,BBA) 1,600 19,960,157
9 MASTER'S, PROFESSIONAL, DOCTORAL DEGREE 927 12,150,931
10 CHILD UNDER 5 YEARS OLD 1,270 10,175,679
TOTAL 35,427 321,423,251
EDUCYR YEARS OF EDUC WHEN FIRST ENTERED MEPS 2.0 NUM 227 228

-8 DK 152 736,620
-7 REFUSED 34 153,596
-1 INAPPLICABLE 17,714 159,551,179
0 NO SCHOOL/KINDERGARTEN ONLY 754 5,083,824
1 - 8 ELEMENTARY GRADES 1 - 8 3,484 24,314,946
9 - 11 HIGH SCHOOL GRADES 9 - 11 2,268 17,058,865
12 GRADE 12 4,485 40,826,124
13 1 YEAR COLLEGE 918 9,230,674
14 2 YEARS COLLEGE 1,658 17,479,447
15 3 YEARS COLLEGE 513 5,256,945
16 4 YEARS COLLEGE 2,083 25,098,240
17 5+ YEARS COLLEGE 1,302 16,436,184
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HIDEG HIGHEST DEGREE WHEN FIRST ENTERED MEPS 2.0 NUM 229 230

-8 DK 152 713,763
-7 REFUSED 26 143,817
-1 INAPPLICABLE 15,934 144,826,680
1 NO DEGREE 3,113 20,140,826
2 GED 623 5,601,068
3 HIGH SCHOOL DIPLOMA 6,073 57,953,651
4 BACHELOR'S DEGREE 2,117 25,393,731
5 MASTER'S DEGREE 941 11,783,137
6 DOCTORATE DEGREE 250 3,471,897
7 OTHER DEGREE 1,063 11,605,543
8 UNDER 16-INAPPLICABLE 5,087 39,695,416
TOTAL 35,427 321,423,251
EDRECODE EDUCATION RECODE (EDITED) 2.0 NUM 231 232

-8 DK 234 1,250,640
-7 REFUSED 39 171,418
-1 INAPPLICABLE OR UNDER 5 3,050 24,900,178
1 LESS THAN/EQUAL TO 8TH GRADE 7,790 53,354,192
2 9 - 12TH GRADE, NO HS DIPLOMA OR GED 4,031 29,146,410
13 GED OR HS GRAD 7,814 72,145,941
14 BEYOND HS,COLLEGE(NO 4YR DEG),ASSOC DEG 6,466 66,641,653
15 4-YEAR COLLEGE DEGREE, BACHELOR'S DEGREE 3,766 45,744,405
16 MASTER'S, DOCTORATE, OR PROFESSIONAL DEG 2,152 27,862,552
TOTAL 35,427 321,423,251
DATE: July 24, 2017
FTSTU31X STUDENT STATUS IF AGES 17-23 - R3/1 2.0 NUM 233 234

-1 INAPPLICABLE 32,193 291,967,883
1 FULL-TIME 1,594 15,119,486
2 PART-TIME 284 2,261,414
3 NOT A STUDENT 1,350 12,066,377
TOTAL 35,427 321,423,251

-8 DK 3 14,341
-1 INAPPLICABLE 32,091 291,872,484
1 FULL-TIME 1,535 14,449,092
2 PART-TIME 286 2,394,596
3 NOT A STUDENT 1,504 12,671,643
TOTAL 35,427 321,423,251

-8 DK 3 8,840
-1 INAPPLICABLE 32,060 291,962,544
1 FULL-TIME 1,659 15,461,492
2 PART-TIME 282 2,481,157
3 NOT A STUDENT 1,420 11,504,616
TOTAL 35,427 321,423,251
DATE: July 24, 2017
FTSTU15X STUDENT STATUS IF AGES 17-23 - 12/31/15 2.0 NUM 239 240

-1 INAPPLICABLE 31,631 288,025,732
1 FULL-TIME 1,724 16,061,799
2 PART-TIME 319 2,819,886
3 NOT A STUDENT 1,749 14,507,743
TOTAL 35,427 321,423,251
ACTDTY31 MILITARY FULL-TIME ACTIVE DUTY - R3/1 2.0 NUM 241 242

-7 REFUSED 4 0
1 YES - ACTIVE DUTY 42 214,713
2 NO - NOT FT ACTIVE DUTY 19,981 186,082,527
4 OVER 59 - INAPPLICABLE 5,864 65,705,044
TOTAL 35,427 321,423,251

-8 DK 2 8,250
-7 REFUSED 6 0
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-8 DK 1 0
-7 REFUSED 14 20,399
TOTAL 35,427 321,423,251
HONRDC31 HONORABLY DISCHARGED FROM MILITARY 2.0 NUM 247 248

-8 DK 21 162,896
-7 REFUSED 11 100,304
1 YES - HONORABLY DISCHARGED 1,579 18,972,141
2 NO - NOT HONORABLY DISCHARGED 23,665 227,839,205
3 16 OR YOUNGER - INAPPLICABLE 9,037 70,099,694
4 NOW ACTIVE DUTY 42 214,713
TOTAL 35,427 321,423,251

-8 DK 25 162,896
-7 REFUSED 12 69,118
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-8 DK 26 162,896
-7 REFUSED 14 69,118
TOTAL 35,427 321,423,251
REFRL31X RELATION TO REF PERS- R3/1 (EDIT/IMP) 2.0 NUM 253 254

1 HOUSEHOLD REFERENCE PERSON 13,819 142,808,112
2 SPOUSE (HUSBAND/WIFE) 5,401 60,154,132
3 UNMARRIED PARTNER 1,011 6,156,032
4 CHILD BIOLOGICAL/ADOPT/INLAW/STEP/FOSTR 11,361 91,381,528
5 CHILD OF PARTNER 148 981,351
6 GRANDCHILD 743 5,053,331
7 PARENT (BIOLGCL/ADOPT/INLAW/STEP/FOSTR) 863 5,420,043
8 SIBLING (BIOLGCL/ADOPT/INLAW/STEP/FOSTR) 610 3,574,884
9 GRANDPARENT 33 144,714
10 AUNT/UNCLE 44 233,909
11 NIECE/NEPHEW 169 753,766
91 OTHER RELATED, SPECIFY 236 1,275,554
TOTAL 35,427 321,423,251
DATE: July 24, 2017

3 UNMARRIED PARTNER 1,002 5,521,137
6 GRANDCHILD 746 4,949,268
10 AUNT/UNCLE 50 247,526
TOTAL 35,427 321,423,251

3 UNMARRIED PARTNER 971 5,083,204
6 GRANDCHILD 747 4,811,842
10 AUNT/UNCLE 50 227,109
TOTAL 35,427 321,423,251
DATE: July 24, 2017
REFRL15X RELATION TO REF PERS-12/31/15 (EDIT/IMP) 2.0 NUM 259 260

3 UNMARRIED PARTNER 977 5,141,087
6 GRANDCHILD 752 4,835,911
10 AUNT/UNCLE 51 235,747
TOTAL 35,427 321,423,251
OTHLANG IN FAMILY WITH SOMEONE SPKNG OTHER LANG 2.0 NUM 261 262

-8 DK 2 0
-7 REFUSED 11 40,548
-1 INAPPLICABLE, THOSE WHO JOIN AFTER RND 1 41 600,654
1 YES 13,904 78,638,746
2 NO 21,423 242,090,993
TOTAL 35,427 321,423,251
LANGSPK LANGUAGE SPOKEN AT HOME OTHER THAN ENGL 2.0 NUM 263 264
-1 INAPPLICABLE, THOSE WHO JOIN AFTER RND 1 21,523 242,784,505
1 SPANISH 10,352 49,812,494
2 ANOTHER LANGUAGE 3,551 28,826,251
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HWELLSPE HOW WELL PERSON SPEAKS ENGLISH 2.0 NUM 265 266

-8 DK 3 5,467
-7 REFUSED 5 0
-1 INAPPLICABLE 21,523 242,784,505
1 VERY WELL 7,242 45,392,984
2 WELL 2,009 10,958,427
3 NOT WELL 2,018 9,435,046
4 NOT AT ALL 1,146 4,880,177
5 UNDER 5 IN ROUND 1 AND OTHLANG=1, INAPP 1,437 7,812,306
TOTAL 35,427 321,423,251
BORNUSA PERSON BORN IN THE US 2.0 NUM 267 268

-8 DK 10 48,879
-7 REFUSED 32 75,323
-1 INAPPLICABLE, THOSE WHO ARE DEC/INSTD 39 588,731
1 YES 27,709 275,286,036
2 NO 7,571 45,397,822
TOTAL 35,427 321,423,251
YRSINUS YEARS PERSON LIVED IN THE US 2.0 NUM 269 270

-8 DK 57 278,141
-7 REFUSED 17 84,207
-1 INAPPLICABLE 27,856 276,025,429
1 LESS THAN 1 YEAR 36 188,705
2 1 YR., LESS THAN 5 YRS. 558 3,325,457
3 5 YRS., LESS THAN 10 YRS. 911 5,269,586
4 10 YRS., LESS THAN 15 YRS. 1,316 7,230,837
5 15 YEARS OR MORE 4,671 28,977,459
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MOPID31X PID OF PERSON'S MOM - RD 3/1 3.0 NUM 271 273
-1 INAPPLICABLE 23,054 223,651,352

101 - 303 12,373 97,771,899
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 22,903 222,924,188

101 - 401 12,524 98,499,062
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 22,791 222,492,157

101 - 402 12,636 98,931,093
TOTAL 35,427 321,423,251
DAPID31X PID OF PERSON'S DAD - RD 3/1 3.0 NUM 280 282
-1 INAPPLICABLE 27,113 247,281,604

101 - 303 8,314 74,141,647
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 27,029 246,853,694

101 - 401 8,398 74,569,557
TOTAL 35,427 321,423,251
DATE: July 24, 2017
-1 INAPPLICABLE 26,919 246,361,394

101 - 402 8,508 75,061,857
TOTAL 35,427 321,423,251
RTHLTH31 PERCEIVED HEALTH STATUS - RD 3/1 2.0 NUM 289 290

-8 DK 21 92,302
-7 REFUSED 38 133,381
-1 INAPPLICABLE 1,038 4,120,335
1 EXCELLENT 11,633 107,806,673
2 VERY GOOD 9,851 100,503,555
3 GOOD 8,449 73,735,614
4 FAIR 3,375 26,577,345
5 POOR 997 8,448,398
TOTAL 35,427 321,423,251

-8 DK 18 99,467
-7 REFUSED 40 73,483
1 EXCELLENT 10,962 101,286,843
2 VERY GOOD 10,218 102,330,739
3 GOOD 9,386 80,483,440
4 FAIR 3,331 26,286,598
5 POOR 869 7,477,506
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-8 DK 27 120,841
-7 REFUSED 65 111,432
1 EXCELLENT 11,332 105,493,380
2 VERY GOOD 10,191 100,308,534
3 GOOD 9,378 79,484,747
4 FAIR 3,268 25,249,600
5 POOR 838 6,965,958
TOTAL 35,427 321,423,251
MNHLTH31 PERCEIVED MENTAL HEALTH STATUS - RD 3/1 2.0 NUM 295 296

-8 DK 33 182,941
-7 REFUSED 42 203,872
-1 INAPPLICABLE 1,038 4,120,335
1 EXCELLENT 15,453 143,603,136
2 VERY GOOD 8,718 85,875,115
3 GOOD 7,753 67,019,926
4 FAIR 1,887 16,020,317
5 POOR 478 4,391,962
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-8 DK 25 191,731
-7 REFUSED 41 73,483
1 EXCELLENT 14,337 132,688,884
2 VERY GOOD 9,362 91,961,379
3 GOOD 8,494 71,113,266
4 FAIR 2,059 17,421,274
5 POOR 506 4,588,060
TOTAL 35,427 321,423,251

-8 DK 29 143,672
-7 REFUSED 71 170,232
1 EXCELLENT 14,492 133,517,204
2 VERY GOOD 9,288 90,615,542
3 GOOD 8,723 73,017,722
4 FAIR 2,016 16,155,456
5 POOR 480 4,114,664
TOTAL 35,427 321,423,251
HIBPDX HIGH BLOOD PRESSURE DIAG (>17) 2.0 NUM 301 302

-8 DK 50 128,293
-7 REFUSED 28 47,790
-1 INAPPLICABLE 9,607 74,102,913
1 YES 8,476 82,977,197
2 NO 17,253 164,134,729
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HIBPAGED AGE OF DIAGNOSIS-HIGH BLOOD PRESSURE 2.0 NUM 303 304

-8 DK 508 4,425,362
-7 REFUSED 2 9,771
-1 INAPPLICABLE 26,951 238,446,054
0 - 85 AGE AT DIAGNOSIS 7,958 78,450,028
TOTAL 35,427 321,423,251
BPMLDX MULT DIAG HIGH BLOOD PRESS (>17) 2.0 NUM 305 306

-8 DK 104 1,030,791
-1 INAPPLICABLE 26,951 238,446,054
1 YES 6,785 67,121,121
2 NO 1,577 14,720,367
TOTAL 35,427 321,423,251
CHDDX CORONARY HRT DISEASE DIAG (>17) 2.0 NUM 307 308

-8 DK 38 74,968
-7 REFUSED 27 36,655
-1 INAPPLICABLE 9,607 74,102,913
1 YES 1,290 13,244,306
2 NO 24,452 233,932,078
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CHDAGED AGE OF DIAGNOSIS-CORONARY HEART DISEASE 2.0 NUM 309 310
-8 DK 44 394,936
-7 REFUSED 2 11,758
-1 INAPPLICABLE 34,137 308,178,945
0 - 85 AGE AT DIAGNOSIS 1,244 12,837,612
TOTAL 35,427 321,423,251
ANGIDX ANGINA DIAGNOSIS (>17) 2.0 NUM 311 312

-8 DK 38 59,249
-7 REFUSED 27 36,655
-1 INAPPLICABLE 9,607 74,102,913
1 YES 568 6,209,379
2 NO 25,174 240,982,724
TOTAL 35,427 321,423,251
ANGIAGED AGE OF DIAGNOSIS-ANGINA 2.0 NUM 313 314
-8 DK 22 220,327
-1 INAPPLICABLE 34,859 315,213,872
0 - 85 AGE AT DIAGNOSIS 546 5,989,052
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MIDX HEART ATTACK (MI) DIAG (>17) 2.0 NUM 315 316

-8 DK 31 36,895
-7 REFUSED 27 36,655
-1 INAPPLICABLE 9,607 74,102,913
1 YES 927 9,598,478
2 NO 24,822 237,615,979
TOTAL 35,427 321,423,251
MIAGED AGE OF DIAGNOSIS-HEART ATTACK(MI) 2.0 NUM 317 318
-8 DK 28 286,858
-7 REFUSED 1 5,024
-1 INAPPLICABLE 34,500 311,824,773
0 - 85 AGE AT DIAGNOSIS 898 9,306,596
TOTAL 35,427 321,423,251
OHRTDX OTHER HEART DISEASE DIAG (>17) 2.0 NUM 319 320

-8 DK 35 46,012
-7 REFUSED 28 47,790
-1 INAPPLICABLE 9,607 74,102,913
1 YES 2,490 28,834,139
2 NO 23,254 218,360,067
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OHRTAGED AGE OF DIAGNOSIS-OTHER HEART DISEASE 2.0 NUM 321 322

-8 DK 78 911,364
-7 REFUSED 1 5,024
-1 INAPPLICABLE 32,937 292,589,112
0 - 85 AGE AT DIAGNOSIS 2,405 27,882,834
TOTAL 35,427 321,423,251
STRKDX STROKE DIAGNOSIS (>17) 2.0 NUM 323 324

-8 DK 26 27,474
-7 REFUSED 28 47,790
-1 INAPPLICABLE 9,607 74,102,913
1 YES 1,050 9,790,904
2 NO 24,703 237,421,840
TOTAL 35,427 321,423,251
STRKAGED AGE OF DIAGNOSIS-STROKE 2.0 NUM 325 326
-8 DK 43 418,357
-1 INAPPLICABLE 34,377 311,632,347
0 - 85 AGE AT DIAGNOSIS 1,007 9,372,547
TOTAL 35,427 321,423,251
DATE: July 24, 2017
EMPHDX EMPHYSEMA DIAGNOSIS (>17) 2.0 NUM 327 328

-8 DK 28 19,209
-7 REFUSED 28 47,790
-1 INAPPLICABLE 9,607 74,102,913
1 YES 470 5,153,006
2 NO 25,281 242,068,004
TOTAL 35,427 321,423,251
EMPHAGED AGE OF DIAGNOSIS-EMPHYSEMA 2.0 NUM 329 330

-8 DK 19 167,620
-1 INAPPLICABLE 34,957 316,270,245
0 - 85 AGE AT DIAGNOSIS 450 4,982,624
TOTAL 35,427 321,423,251
CHBRON31 CHRONC BRONCHITS LAST 12 MTHS (>17)-R3/1 2.0 NUM 331 332

-8 DK 90 505,709
-7 REFUSED 52 303,311
-1 INAPPLICABLE 10,294 77,389,897
1 YES 539 5,148,567
2 NO 24,287 237,094,776
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CHBRON53 CHRONC BRONCHITS LAST 12 MTHS (>17)-R5/3 2.0 NUM 333 334

-8 DK 77 403,127
-7 REFUSED 85 441,857
-1 INAPPLICABLE 9,876 77,282,009
1 YES 459 4,734,042
2 NO 24,919 238,557,845
TOTAL 35,427 321,423,251
CHOLDX HIGH CHOLESTEROL DIAGNOSIS (>17) 2.0 NUM 335 336

-8 DK 61 249,429
-7 REFUSED 28 47,790
-1 INAPPLICABLE 9,607 74,102,913
1 YES 7,480 77,095,328
2 NO 18,238 169,895,462
TOTAL 35,427 321,423,251
CHOLAGED AGE OF DIAGNOSIS-HIGH CHOLESTEROL 2.0 NUM 337 338

-8 DK 383 3,373,801
-7 REFUSED 7 66,098
-1 INAPPLICABLE 27,947 244,327,923
0 - 85 AGE AT DIAGNOSIS 7,085 73,627,735
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CANCERDX CANCER DIAGNOSIS (>17) 2.0 NUM 339 340

-8 DK 30 48,752
-7 REFUSED 28 47,790
-1 INAPPLICABLE 9,607 74,102,913
1 YES 2,246 27,653,836
2 NO 23,500 219,512,422
TOTAL 35,427 321,423,251
CABLADDR CANCER DIAGNOSED - BLADDER (>17) 2.0 NUM 341 342
-8 DK 1 8,795
-1 INAPPLICABLE 33,181 293,769,415
1 YES 45 598,478
2 NO 2,200 27,046,563
TOTAL 35,427 321,423,251
CABREAST CANCER DIAGNOSED - BREAST (>17) 2.0 NUM 343 344
-8 DK 1 8,795
-1 INAPPLICABLE 33,181 293,769,415
1 YES 378 4,530,487
2 NO 1,867 23,114,553
TOTAL 35,427 321,423,251
CACERVIX CANCER DIAGNOSED - CERVIX (>17) 2.0 NUM 345 346
-8 DK 1 8,795
-1 INAPPLICABLE 34,108 305,798,900
1 YES 154 1,649,473
2 NO 1,164 13,966,083
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CACOLON CANCER DIAGNOSED - COLON (>17) 2.0 NUM 347 348
-8 DK 1 8,795
-1 INAPPLICABLE 33,181 293,769,415
1 YES 142 1,425,046
2 NO 2,103 26,219,995
TOTAL 35,427 321,423,251
CALUNG CANCER DIAGNOSED - LUNG (>17) 2.0 NUM 349 350
-8 DK 1 8,795
-1 INAPPLICABLE 33,181 293,769,415
1 YES 58 529,289
2 NO 2,187 27,115,751
TOTAL 35,427 321,423,251
CALYMPH CANCER DIAGNOSED - LYMPHOMA (>17) 2.0 NUM 351 352
-8 DK 1 8,795
-1 INAPPLICABLE 33,181 293,769,415
1 YES 56 743,204
2 NO 2,189 26,901,836
TOTAL 35,427 321,423,251
CAMELANO CANCER DIAGNOSED - MELANOMA (>17) 2.0 NUM 353 354
-8 DK 1 8,795
-1 INAPPLICABLE 33,181 293,769,415
1 YES 137 2,230,021
2 NO 2,108 25,415,019
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CAOTHER CANCER DIAGNOSED - OTHER (>17) 2.0 NUM 355 356
-8 DK 1 8,795
-1 INAPPLICABLE 33,181 293,769,415
1 YES 452 5,103,351
2 NO 1,793 22,541,689
TOTAL 35,427 321,423,251
CAPROSTA CANCER DIAGNOSED - PROSTATE (>17) 2.0 NUM 357 358
-1 INAPPLICABLE 34,500 309,393,767

1 YES 266 3,033,900
2 NO 661 8,995,585
TOTAL 35,427 321,423,251
CASKINNM CANCER DIAGNOSED - SKIN-NONMELANO (>17) 2.0 NUM 359 360
-8 DK 1 8,795
-1 INAPPLICABLE 33,181 293,769,415
1 YES 364 5,558,732
2 NO 1,881 22,086,308
TOTAL 35,427 321,423,251
CASKINDK CANCER DIAGNOSED-SKIN-UNKNOWN TYPE (>17) 2.0 NUM 361 362
-8 DK 1 8,795
-1 INAPPLICABLE 33,181 293,769,415
1 YES 224 3,172,693
2 NO 2,021 24,472,347
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CAUTERUS CANCER DIAGNOSED - UTERUS (>17) 2.0 NUM 363 364
-8 DK 1 8,795
-1 INAPPLICABLE 34,108 305,798,900
1 YES 116 1,140,545
2 NO 1,202 14,475,011
TOTAL 35,427 321,423,251
DIABDX DIABETES DIAGNOSIS (>17) 2.0 NUM 365 366

-8 DK 30 37,519
-7 REFUSED 28 47,790
-1 INAPPLICABLE 9,607 74,102,913
1 YES 2,809 24,716,362
2 NO 22,940 222,486,337
TOTAL 35,427 321,423,251
DIABAGED AGE OF DIAGNOSIS-DIABETES 2.0 NUM 367 368

-8 DK 135 945,813
-7 REFUSED 2 17,218
-1 INAPPLICABLE 32,618 296,706,889
0 - 85 AGE AT DIAGNOSIS 2,670 23,744,380
TOTAL 35,427 321,423,251
DATE: July 24, 2017
JTPAIN31 JOINT PAIN LAST 12 MONTHS (>17) - RD 3/1 2.0 NUM 369 370

-8 DK 114 612,345
-7 REFUSED 54 321,976
-1 INAPPLICABLE 10,294 77,389,897
1 YES 8,730 92,774,178
2 NO 16,068 149,335,295
TOTAL 35,427 321,423,251
JTPAIN53 JOINT PAIN LAST 12 MONTHS (>17) - RD 5/3 2.0 NUM 371 372

-8 DK 102 611,402
-7 REFUSED 84 416,323
-1 INAPPLICABLE 9,876 77,282,009
1 YES 8,267 87,687,579
2 NO 17,087 155,421,567
TOTAL 35,427 321,423,251
ARTHDX ARTHRITIS DIAGNOSIS (>17) 2.0 NUM 373 374

-8 DK 39 101,034
-7 REFUSED 29 56,379
-1 INAPPLICABLE 9,607 74,102,913
1 YES 6,365 67,206,888
2 NO 19,374 179,923,706
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ARTHTYPE TYPE OF ARTHRITIS DIAGNOSED (>17) 2.0 NUM 375 376
-7 REFUSED 2 15,812
-1 INAPPLICABLE 29,062 254,216,363
1 RHEUMATOID ARTHRITIS 1,093 9,670,714
2 OSTEOARTHRITIS 2,114 25,620,909
3 NOT SPECIFIED 3,156 31,899,453
TOTAL 35,427 321,423,251
ARTHAGED AGE OF DIAGNOSIS-ARTHRITIS 2.0 NUM 377 378
-9 NOT ASCERTAINED 105 1,122,171

-8 DK 350 3,235,436
-7 REFUSED 4 15,646
-1 INAPPLICABLE 29,062 254,216,363
0 - 85 AGE AT DIAGNOSIS 5,906 62,833,635
TOTAL 35,427 321,423,251
ASTHDX ASTHMA DIAGNOSIS 2.0 NUM 379 380

-8 DK 29 38,013
-7 REFUSED 35 52,032
-1 INAPPLICABLE 32 385,650
1 YES 3,476 31,107,087
2 NO 31,841 289,835,808
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ASTHAGED AGE OF DIAGNOSIS-ASTHMA 2.0 NUM 381 382

-8 DK 126 953,463
-1 INAPPLICABLE 31,951 290,316,164
0 - 85 AGE AT DIAGNOSIS 3,345 30,112,404
TOTAL 35,427 321,423,251
ASSTIL31 DOES PERSON STILL HAVE ASTHMA-RD3/1 2.0 NUM 383 384

-8 DK 18 198,240
-7 REFUSED 2 23,746
-1 INAPPLICABLE 32,385 293,484,769
1 YES 2,567 23,555,139
2 NO 451 4,140,285
TOTAL 35,427 321,423,251
ASSTIL53 DOES PERSON STILL HAVE ASTHMA - RD 5/3 2.0 NUM 385 386

-8 DK 18 137,067
-7 REFUSED 3 27,028
-1 INAPPLICABLE 31,967 290,475,872
1 YES 2,998 26,815,088
2 NO 440 3,954,826
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ASATAK31 ASTHMA ATTACK LAST 12 MOS - RD3/1 2.0 NUM 387 388

-8 DK 9 99,855
-7 REFUSED 2 23,746
-1 INAPPLICABLE 32,385 293,484,769
1 YES 1,182 10,539,359
2 NO 1,846 17,250,470
TOTAL 35,427 321,423,251
ASATAK53 ASTHMA ATTACK LAST 12 MOS - RD 5/3 2.0 NUM 389 390

-8 DK 23 168,659
-7 REFUSED 4 29,054
-1 INAPPLICABLE 31,967 290,475,872
1 YES 1,138 10,362,829
2 NO 2,293 20,363,472
TOTAL 35,427 321,423,251
ASTHEP31 WHEN WAS LAST EPISODE OF ASTHMA - RD 3/1 2.0 NUM 391 392

-8 DK 16 136,378
-7 REFUSED 1 16,302
-1 INAPPLICABLE 34,136 309,229,763
1 WITHIN PAST 2 YEARS 429 3,604,977
4 MORE THAN 5 YEARS 405 4,156,008
5 NEVER 161 1,678,460
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ASTHEP53 WHEN WAS LAST EPISODE OF ASTHMA - RD 5/3 2.0 NUM 393 394

-8 DK 20 173,476
-1 INAPPLICABLE 34,697 315,668,252
2 WITHIN PAST 3 YEARS 109 942,877
4 MORE THAN 5 YEARS 115 915,732
5 NEVER 75 578,622
TOTAL 35,427 321,423,251
ASACUT53 USED ACUTE PRES INHALER LAST 3 MOS-RD5/3 2.0 NUM 395 396

-8 DK 24 160,402
-7 REFUSED 10 73,528
-1 INAPPLICABLE 31,967 290,475,872
1 YES 1,686 15,206,618
2 NO 1,735 15,457,889
TOTAL 35,427 321,423,251
ASMRCN53 USED>3ACUTE CN PRES INH LAST 3 MOS-RD5/3 2.0 NUM 397 398
-8 DK 15 117,047
-1 INAPPLICABLE 33,741 306,216,633
1 YES 227 1,846,435
2 NO 1,444 13,243,135
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ASPREV53 EVER USED PREV DAILY ASTHMA MEDS -RD 5/3 2.0 NUM 399 400

-8 DK 44 302,701
-7 REFUSED 10 84,978
-1 INAPPLICABLE 31,967 290,475,872
1 YES 1,209 11,845,591
2 NO 2,192 18,665,166
TOTAL 35,427 321,423,251
ASDALY53 NOW TAKE PREV DAILY ASTHMA MEDS - RD 5/3 2.0 NUM 401 402
-8 DK 4 39,798
-1 INAPPLICABLE 34,218 309,577,660
1 YES 699 6,517,455
2 NO 506 5,288,339
TOTAL 35,427 321,423,251
ASPKFL53 HAVE PEAK FLOW METER AT HOME - RD 5/3 2.0 NUM 403 404

-8 DK 24 154,279
-7 REFUSED 10 84,978
-1 INAPPLICABLE 31,967 290,475,872
1 YES 570 5,003,763
2 NO 2,851 25,655,416
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ASEVFL53 EVER USED PEAK FLOW METER - RD 5/3 2.0 NUM 405 406
-8 DK 2 20,003
-1 INAPPLICABLE 34,857 316,419,488
1 YES 368 2,996,617
2 NO 200 1,987,144
TOTAL 35,427 321,423,251
ASWNFL53 WHEN LAST USED PEAK FLOW METER - RD 5/3 2.0 NUM 407 408
-8 DK 3 21,459
-1 INAPPLICABLE 35,059 318,426,634
1 WITHIN LAST 7 DAYS 78 503,817
2 MORE THAN 7, BUT WITHIN LAST 30 DAYS 52 359,342
3 MORE THAN 30 DAYS AGO 235 2,111,998
TOTAL 35,427 321,423,251
ADHDADDX ADHDADD DIAGNOSIS (5-17) 2.0 NUM 409 410

-8 DK 7 16,558
-7 REFUSED 3 9,383
-1 INAPPLICABLE 27,507 261,622,137
1 YES 820 6,959,917
2 NO 7,083 52,803,014
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ADHDAGED AGE OF DIAGNOSIS-ADHD/ADD 2.0 NUM 411 412

-8 DK 9 35,913
-1 INAPPLICABLE 34,607 314,463,334
0 - 17 AGE OF DIAGNOSIS 809 6,914,851
TOTAL 35,427 321,423,251
PREGNT31 PREGNANT DURING REF PERIOD - RD 3/1 2.0 NUM 413 414

-8 DK 1 2,855
-7 REFUSED 5 63,242
-1 INAPPLICABLE 28,480 260,380,720
1 YES 398 3,325,803
2 NO 6,531 57,574,127
TOTAL 35,427 321,423,251

-8 DK 4 13,987
-7 REFUSED 4 25,630
-1 INAPPLICABLE 28,380 260,269,084
1 YES 396 3,343,018
2 NO 6,637 57,760,809
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-8 DK 2 5,204
-7 REFUSED 3 18,164
-1 INAPPLICABLE 28,293 260,234,722
1 YES 411 3,429,188
2 NO 6,710 57,673,466
TOTAL 35,427 321,423,251
IADLHP31 IADL SCREENER - RD 3/1 2.0 NUM 419 420
-8 DK 6 21,364
-7 REFUSED 5 50,521
-1 INAPPLICABLE 1,032 4,110,490
1 YES 1,075 9,846,380
2 NO 33,309 307,394,495
TOTAL 35,427 321,423,251
IADLHP53 IADL SCREENER - RD 5/3 2.0 NUM 421 422
-8 DK 22 149,622
-7 REFUSED 7 64,066
1 YES 1,138 9,860,836
2 NO 33,953 307,960,141
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ADLHLP31 ADL SCREENER - RD 3/1 2.0 NUM 423 424
-8 DK 10 178,164
-7 REFUSED 5 50,521
-1 INAPPLICABLE 1,032 4,110,490
1 YES 665 5,987,126
2 NO 33,715 311,096,950
TOTAL 35,427 321,423,251
ADLHLP53 ADL SCREENER - RD 5/3 2.0 NUM 425 426
-8 DK 12 180,200
-7 REFUSED 7 64,066
1 YES 724 6,129,921
2 NO 34,377 311,660,478
TOTAL 35,427 321,423,251
AIDHLP31 USED ASSISTIVE DEVICES - RD 3/1 2.0 NUM 427 428
-8 DK 5 54,156
-7 REFUSED 5 50,521
-1 INAPPLICABLE 1,032 4,110,490
1 YES 1,748 17,187,617
2 NO 32,637 300,020,466
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AIDHLP53 USED ASSISTIVE DEVICES - RD 5/3 2.0 NUM 429 430
-8 DK 3 63,250
-7 REFUSED 6 52,366
1 YES 1,785 17,153,633
2 NO 33,326 300,765,417
TOTAL 35,427 321,423,251
WLKLIM31 LIMITATION IN PHYSICAL FUNCTIONING-RD3/1 2.0 NUM 431 432

-8 DK 98 993,695
-7 REFUSED 5 50,521
-1 INAPPLICABLE 1,032 4,110,490
1 YES 3,521 35,067,247
2 NO 30,769 281,193,438
TOTAL 35,427 321,423,251
WLKLIM53 LIMITATION IN PHYSICAL FUNCTIONING-RD5/3 2.0 NUM 433 434
-8 DK 118 917,171
-7 REFUSED 8 87,402
1 YES 3,454 33,974,509
2 NO 31,540 283,055,584
TOTAL 35,427 321,423,251
DATE: July 24, 2017
LFTDIF31 DIFFICULTY LIFTING 10 POUNDS - RD 3/1 2.0 NUM 435 436

-8 DK 4 30,494
-7 REFUSED 1 2,602
-1 INAPPLICABLE 31,906 286,356,004
1 NO DIFFICULTY 1,404 16,526,980
2 SOME DIFFICULTY 1,129 10,427,948
3 A LOT OF DIFFICULTY 535 4,266,315
4 COMPLETELY UNABLE TO DO IT 446 3,801,352
TOTAL 35,427 321,423,251
LFTDIF53 DIFFICULTY LIFTING 10 POUNDS - RD 5/3 2.0 NUM 437 438
-8 DK 5 62,457
-7 REFUSED 2 12,232
-1 INAPPLICABLE 31,973 287,448,742
1 NO DIFFICULTY 1,304 14,954,743
TOTAL 35,427 321,423,251
STPDIF31 DIFFICULTY WALKING UP 10 STEPS - RD 3/1 2.0 NUM 439 440

-8 DK 10 75,578
-1 INAPPLICABLE 31,906 286,356,004
1 NO DIFFICULTY 1,192 13,925,044
5 COMPLETELY UNABLE TO WALK 182 1,658,922
TOTAL 35,427 321,423,251
DATE: July 24, 2017
STPDIF53 DIFFICULTY WALKING UP 10 STEPS - RD 5/3 2.0 NUM 441 442
-8 DK 4 27,290
-7 REFUSED 2 12,232
-1 INAPPLICABLE 31,973 287,448,742
1 NO DIFFICULTY 1,142 12,581,012
5 COMPLETELY UNABLE TO WALK 184 1,531,596
TOTAL 35,427 321,423,251
WLKDIF31 DIFFICULTY WALKING 3 BLOCKS - RD 3/1 2.0 NUM 443 444

-8 DK 10 97,719
-1 INAPPLICABLE 31,906 286,356,004
1 NO DIFFICULTY 635 7,647,496
2 SOME DIFFICULTY 957 10,097,003
4 UNABLE TO DO 1,151 10,469,724
TOTAL 35,427 321,423,251
WLKDIF53 DIFFICULTY WALKING 3 BLOCKS - RD 5/3 2.0 NUM 445 446
-8 DK 17 209,854
-7 REFUSED 2 12,232
-1 INAPPLICABLE 31,973 287,448,742
4 UNABLE TO DO 1,149 10,678,246
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MILDIF31 DIFFICULTY WALKING A MILE - RD 3/1 2.0 NUM 447 448
-8 DK 30 273,779
-1 INAPPLICABLE 31,906 286,356,004
4 UNABLE TO DO 1,686 15,864,840
TOTAL 35,427 321,423,251
MILDIF53 DIFFICULTY WALKING A MILE - RD 5/3 2.0 NUM 449 450
-8 DK 28 306,640
-7 REFUSED 2 12,232
-1 INAPPLICABLE 31,973 287,448,742
4 UNABLE TO DO 1,708 15,847,565
TOTAL 35,427 321,423,251
STNDIF31 DIFFICULTY STANDING 20 MINUTES - RD 3/1 2.0 NUM 451 452
-8 DK 5 42,251
-1 INAPPLICABLE 31,906 286,356,004
4 UNABLE TO DO 679 6,122,623
TOTAL 35,427 321,423,251
DATE: July 24, 2017
STNDIF53 DIFFICULTY STANDING 20 MINUTES - RD 5/3 2.0 NUM 453 454
-8 DK 11 153,734
-7 REFUSED 2 12,232
-1 INAPPLICABLE 31,973 287,448,742
4 UNABLE TO DO 697 6,330,787
TOTAL 35,427 321,423,251
BENDIF31 DIFFICULTY BENDING/STOOPING - RD 3/1 2.0 NUM 455 456

-8 DK 4 31,708
-1 INAPPLICABLE 31,906 286,356,004
4 UNABLE TO DO 557 5,075,843
TOTAL 35,427 321,423,251
BENDIF53 DIFFICULTY BENDING/STOOPING - RD 5/3 2.0 NUM 457 458
-8 DK 3 28,642
-7 REFUSED 2 12,232
-1 INAPPLICABLE 31,973 287,448,742
4 UNABLE TO DO 578 4,975,110
TOTAL 35,427 321,423,251
DATE: July 24, 2017
RCHDIF31 DIFFICULTY REACHING OVERHEAD - RD 3/1 2.0 NUM 459 460

-8 DK 5 39,956
-1 INAPPLICABLE 31,906 286,356,004
1 NO DIFFICULTY 1,500 16,921,474
4 UNABLE TO DO 319 2,565,231
TOTAL 35,427 321,423,251
RCHDIF53 DIFFICULTY REACHING OVERHEAD - RD 5/3 2.0 NUM 461 462
-8 DK 8 102,801
-7 REFUSED 2 12,232
-1 INAPPLICABLE 31,973 287,448,742
1 NO DIFFICULTY 1,410 15,179,788
4 UNABLE TO DO 346 2,735,874
TOTAL 35,427 321,423,251
FNGRDF31 DIFFICULTY USING FINGERS TO GRASP-RD 3/1 2.0 NUM 463 464

-8 DK 2 23,422
-1 INAPPLICABLE 31,906 286,356,004
1 NO DIFFICULTY 2,300 23,603,118
4 UNABLE TO DO 59 457,551
TOTAL 35,427 321,423,251
DATE: July 24, 2017
FNGRDF53 DIFFICULTY USING FINGERS TO GRASP-RD 5/3 2.0 NUM 465 466

-8 DK 3 35,424
-7 REFUSED 2 12,232
-1 INAPPLICABLE 31,973 287,448,742
1 NO DIFFICULTY 2,278 23,263,720
4 UNABLE TO DO 74 571,288
TOTAL 35,427 321,423,251
ACTLIM31 ANY LIMITATION WORK/HOUSEWRK/SCHL-RD 3/1 2.0 NUM 467 468

-8 DK 62 480,434
-7 REFUSED 7 54,807
-1 INAPPLICABLE 3,471 24,267,220
1 YES 2,805 26,115,638
2 NO 29,080 270,497,293
TOTAL 35,427 321,423,251
ACTLIM53 ANY LIMITATION WORK/HOUSEWRK/SCHL-RD 5/3 2.0 NUM 469 470
-8 DK 94 637,326
-7 REFUSED 9 93,406
-1 INAPPLICABLE 2,638 22,889,059
1 YES 2,839 25,776,189
2 NO 29,847 272,027,271
TOTAL 35,427 321,423,251
DATE: July 24, 2017
WRKLIM31 WORK LIMITATION - RD 3/1 2.0 NUM 471 472

-8 DK 67 528,590
-7 REFUSED 7 54,807
-1 INAPPLICABLE 32,551 294,764,513
1 YES 2,578 23,476,372
2 NO 222 2,591,109
TOTAL 35,427 321,423,251
WRKLIM53 WORK LIMITATION - RD 5/3 2.0 NUM 473 474
-8 DK 97 667,591
-7 REFUSED 9 93,406
-1 INAPPLICABLE 32,485 294,916,330
1 YES 2,623 23,512,808
2 NO 213 2,233,116
TOTAL 35,427 321,423,251
HSELIM31 HOUSEWORK LIMITATION - RD 3/1 2.0 NUM 475 476

-8 DK 67 528,590
-7 REFUSED 7 54,807
-1 INAPPLICABLE 32,551 294,764,513
1 YES 1,714 15,721,817
2 NO 1,086 10,345,664
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HSELIM53 HOUSEWORK LIMITATION - RD 5/3 2.0 NUM 477 478
-8 DK 97 667,591
-7 REFUSED 9 93,406
-1 INAPPLICABLE 32,485 294,916,330
1 YES 1,795 15,954,912
2 NO 1,041 9,791,012
TOTAL 35,427 321,423,251
SCHLIM31 SCHOOL LIMITATION - RD 3/1 2.0 NUM 479 480

-8 DK 67 528,590
-7 REFUSED 7 54,807
-1 INAPPLICABLE 32,551 294,764,513
1 YES 1,238 11,003,725
2 NO 1,562 15,063,757
TOTAL 35,427 321,423,251
SCHLIM53 SCHOOL LIMITATION - RD 5/3 2.0 NUM 481 482
-8 DK 97 667,591
-7 REFUSED 9 93,406
-1 INAPPLICABLE 32,485 294,916,330
1 YES 1,289 11,346,703
2 NO 1,547 14,399,221
TOTAL 35,427 321,423,251
DATE: July 24, 2017
UNABLE31 COMPLETELY UNABLE TO DO ACTIVITY-RD 3/1 2.0 NUM 483 484
-8 DK 21 231,751
-1 INAPPLICABLE 32,622 295,307,613
1 YES 1,814 16,067,203
2 NO 970 9,816,684
TOTAL 35,427 321,423,251
UNABLE53 COMPLETELY UNABLE TO DO ACTIVITY-RD 5/3 2.0 NUM 485 486
-8 DK 11 94,861
-1 INAPPLICABLE 32,588 295,647,062
1 YES 1,933 16,522,638
2 NO 895 9,158,690
TOTAL 35,427 321,423,251
SOCLIM31 SOCIAL LIMITATIONS - RD 3/1 2.0 NUM 487 488

-8 DK 47 400,882
-7 REFUSED 7 54,807
-1 INAPPLICABLE 1,032 4,110,490
1 YES 1,578 15,540,928
2 NO 32,761 301,308,285
TOTAL 35,427 321,423,251
DATE: July 24, 2017
SOCLIM53 SOCIAL LIMITATIONS - RD 5/3 2.0 NUM 489 490
-8 DK 12 215,281
-7 REFUSED 8 75,360
1 YES 1,606 15,149,798
2 NO 33,494 302,594,227
TOTAL 35,427 321,423,251
COGLIM31 COGNITIVE LIMITATIONS - RD 3/1 2.0 NUM 491 492
-8 DK 96 681,242
-1 INAPPLICABLE 10,571 78,336,694
1 YES 1,532 14,287,176
2 NO 23,228 228,118,139
TOTAL 35,427 321,423,251
COGLIM53 COGNITIVE LIMITATIONS - RD 5/3 2.0 NUM 493 494
-8 DK 70 566,835
-1 INAPPLICABLE 9,868 76,992,048
1 YES 1,523 13,446,049
2 NO 23,966 230,418,319
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DFHEAR42 SERIOUS DIFFICULTY HEARING-RD 4/2 2.0 NUM 495 496

-8 DK 10 50,216
-7 REFUSED 4 59,827
-1 INAPPLICABLE 1,010 6,894,080
1 YES 1,296 14,385,576
2 NO 33,106 300,028,381
TOTAL 35,427 321,423,251
DEAF42 PERSON IS DEAF - RD 4/2 2.0 NUM 497 498
-1 INAPPLICABLE 34,131 307,037,675

1 YES 84 877,268
2 NO 1,212 13,508,308
TOTAL 35,427 321,423,251
DFSEE42 SERIOUS DIFFICULTY SEE W/GLASSES-RD 4/2 2.0 NUM 499 500

-8 DK 4 13,100
-7 REFUSED 4 59,827
-1 INAPPLICABLE 1,010 6,894,080
1 YES 977 9,080,279
2 NO 33,431 305,370,794
TOTAL 35,427 321,423,251
DATE: July 24, 2017
BLIND42 PERSON IS BLIND - RD 4/2 2.0 NUM 501 502
-8 DK 1 2,071
-1 INAPPLICABLE 34,450 312,342,972
1 YES 63 570,260
2 NO 913 8,507,948
TOTAL 35,427 321,423,251
DFCOG42 SERIOUS COGNITIVE DIFFICULTIES-RD 4/2 2.0 NUM 503 504

-8 DK 9 64,702
-1 INAPPLICABLE 3,007 23,275,727
1 YES 1,992 18,805,289
2 NO 30,418 279,272,362
TOTAL 35,427 321,423,251
DFWLKC42 SERIOUS DIFCULTY WLK/CLIMB STAIRS-RD 4/2 2.0 NUM 505 506

-8 DK 3 42,733
-7 REFUSED 7 84,672
-1 INAPPLICABLE 3,007 23,275,727
1 YES 2,872 26,427,515
2 NO 29,537 271,587,434
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DFDRSB42 DIFFICULTY DRESSING/BATHING-RD 4/2 2.0 NUM 507 508

-8 DK 1 6,232
-7 REFUSED 6 84,797
-1 INAPPLICABLE 3,007 23,275,727
1 YES 869 7,513,109
2 NO 31,543 290,538,217
TOTAL 35,427 321,423,251
DFERND42 DIFFICULTY DOING ERRANDS ALONE-RD 4/2 2.0 NUM 509 510

-8 DK 3 5,304
-7 REFUSED 6 74,616
-1 INAPPLICABLE 8,629 64,346,074
1 YES 1,551 14,065,322
2 NO 25,236 242,898,764
TOTAL 35,427 321,423,251
HEARAD42 PERSON WEARS HEARING AID - RD 4/2 2.0 NUM 511 512

-7 REFUSED 3 48,792
1 YES 656 8,434,684
2 NO 34,189 309,784,117
TOTAL 35,427 321,423,251
DATE: July 24, 2017
WRGLAS42 WEARS EYEGLASSES OR CONTACTS - RD 4/2 2.0 NUM 513 514

-8 DK 4 42,617
-7 REFUSED 7 66,402
1 YES 15,945 162,813,193
2 NO 18,889 155,330,031
TOTAL 35,427 321,423,251
ANYLMT15 ANY LIMITATION IN P19R3,4,5/P20R1,2,3 2.0 NUM 515 516
-9 NOT ASCERTAINED 1,523 8,775,228

-1 INAPPLICABLE 49 634,439
1 YES 6,695 66,521,873
2 NO 27,160 245,491,712
TOTAL 35,427 321,423,251
CHPMED42 CSHCN:CHILD NEEDS PRESCRB MED(0-17)-R4/2 2.0 NUM 517 518

-8 DK 19 165,380
-7 REFUSED 18 14,824
-1 INAPPLICABLE 25,819 247,211,267
1 YES 1,609 13,561,893
2 NO 7,960 60,464,890
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CHPMHB42 CSHCN:PMED FOR HLTH/BEHV COND(0-17)-R4/2 2.0 NUM 519 520
-7 REFUSED 1 8,674
-1 INAPPLICABLE 33,818 307,861,357
1 YES 1,530 13,042,010
2 NO 78 511,209
TOTAL 35,427 321,423,251
CHPMCN42 CSHCN:PMED COND LAST 12+ MOS (0-17)-R4/2 2.0 NUM 521 522
-8 DK 35 252,774
-1 INAPPLICABLE 33,897 308,381,241
1 YES 1,300 11,266,917
2 NO 195 1,522,319
TOTAL 35,427 321,423,251
CHSERV42 CSHCN:CHLD NEEDS MED&OTH SERV(0-17)-R4/2 2.0 NUM 523 524

-8 DK 22 149,875
-7 REFUSED 18 14,824
-1 INAPPLICABLE 25,819 247,211,267
1 YES 940 7,819,037
2 NO 8,626 66,223,252
TOTAL 35,427 321,423,251
CHSRHB42 CSHCN:SERV FOR HLTH/BEHV COND(0-17)-R4/2 2.0 NUM 525 526
-8 DK 3 14,360
-1 INAPPLICABLE 34,487 313,604,214
1 YES 853 7,102,442
2 NO 84 702,235
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CHSRCN42 CSHCN:SERV COND LAST 12+ MOS (0-17)-R4/2 2.0 NUM 527 528
-8 DK 18 110,393
-1 INAPPLICABLE 34,574 314,320,809
1 YES 803 6,773,423
2 NO 32 218,625
TOTAL 35,427 321,423,251
CHLIMI42 CSHCN:LIMITED IN ANY WAY (0-17)-R4/2 2.0 NUM 529 530

-8 DK 13 90,325
-7 REFUSED 18 14,824
-1 INAPPLICABLE 25,819 247,211,267
1 YES 483 3,800,088
2 NO 9,092 70,301,751
TOTAL 35,427 321,423,251
CHLIHB42 CSHCN:LIMT FOR HLTH/BEHV COND(0-17)-R4/2 2.0 NUM 531 532
-8 DK 2 5,921
-1 INAPPLICABLE 34,944 317,623,163
1 YES 444 3,534,789
2 NO 37 259,378
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CHLICO42 CSHCN:LIMIT COND LAST 12+MOS (0-17)-R4/2 2.0 NUM 533 534

-8 DK 5 17,744
-1 INAPPLICABLE 34,983 317,888,462
1 YES 424 3,430,824
2 NO 14 78,152
TOTAL 35,427 321,423,251
CHTHER42 CSHCN:CHLD NEEDS SPEC THERAPY(0-17)-R4/2 2.0 NUM 535 536

-8 DK 10 50,644
-7 REFUSED 18 14,824
-1 INAPPLICABLE 25,819 247,211,267
1 YES 663 5,491,064
2 NO 8,915 68,650,456
TOTAL 35,427 321,423,251
CHTHHB42 CSHCN:SPEC THER FOR HLTH+COND(0-17)-R4/2 2.0 NUM 537 538
-8 DK 7 47,077
-1 INAPPLICABLE 34,764 315,932,187
1 YES 530 4,291,624
2 NO 126 1,152,363
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CHTHCO42 CSHCN:THER COND LAST 12+ MOS (0-17)-R4/2 2.0 NUM 539 540
-8 DK 11 93,820
-1 INAPPLICABLE 34,897 317,131,627
1 YES 494 3,969,460
2 NO 25 228,344
TOTAL 35,427 321,423,251
CHCOUN42 CSHCN:CHILD NEEDS COUNSELING (0-17)-R4/2 2.0 NUM 541 542

-8 DK 15 76,452
-7 REFUSED 18 14,824
-1 INAPPLICABLE 25,819 247,211,267
1 YES 713 5,668,454
2 NO 8,860 68,447,257
TOTAL 35,427 321,423,251
CHEMPB42 CSHCN:COUNS PROB LAST 12+MOS (0-17)-R4/2 2.0 NUM 543 544

-8 DK 21 113,407
-1 INAPPLICABLE 34,714 315,754,797
1 YES 631 5,118,101
2 NO 60 429,484
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CSHCN42 CSHCN:CHILD W/SPEC HC NEEDS (0-17)-R4/2 2.0 NUM 545 546
-1 INAPPLICABLE 25,819 247,211,267

1 YES 1,846 15,597,431
2 NO 7,652 58,096,029
3 UNKNOWN 110 518,524
TOTAL 35,427 321,423,251
MOMPRO42 PROBLEM GETTING ALONG W/MOM (5-17)-R4/2 2.0 NUM 547 548

-8 DK 10 22,882
-7 REFUSED 11 9,445
-1 INAPPLICABLE 28,248 267,336,506
0 - 4 PROBLEM SCALE 0-4 7,063 53,237,962
99 ASKED, BUT INAPPLICABLE 90 801,051
TOTAL 35,427 321,423,251
DADPRO42 PROBLEM GETTING ALONG W/DAD (5-17)-R4/2 2.0 NUM 549 550

-8 DK 9 28,990
-7 REFUSED 11 9,445
-1 INAPPLICABLE 28,248 267,336,506
0 - 4 PROBLEM SCALE 0-4 6,591 50,444,767
99 ASKED, BUT INAPPLICABLE 563 3,588,138
TOTAL 35,427 321,423,251
DATE: July 24, 2017
UNHAP42 PROBLEM FEELING UNHAPPY/SAD (5-17)-R4/2 2.0 NUM 551 552

-8 DK 8 16,076
-7 REFUSED 9 9,445
-1 INAPPLICABLE 28,248 267,336,506
0 - 4 PROBLEM SCALE 0-4 7,123 53,885,596
TOTAL 35,427 321,423,251
SCHLBH42 PROBLEM BEHAVIOR AT SCHOOL (5-17)-R4/2 2.0 NUM 553 554

-8 DK 8 22,231
-7 REFUSED 9 9,445
-1 INAPPLICABLE 28,248 267,336,506
0 - 4 PROBLEM SCALE 0-4 7,081 53,443,549
TOTAL 35,427 321,423,251
HAVFUN42 PROBLEM HAVING FUN (5-17) - R4/2 2.0 NUM 555 556

-8 DK 5 10,026
-7 REFUSED 9 9,445
-1 INAPPLICABLE 28,248 267,336,506
0 - 4 PROBLEM SCALE 0-4 7,150 54,018,131
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ADUPRO42 PRBLM GETTING ALONG W/ADULTS (5-17)-R4/2 2.0 NUM 557 558

-8 DK 8 20,805
-7 REFUSED 11 9,445
-1 INAPPLICABLE 28,248 267,336,506
0 - 4 PROBLEM SCALE 0-4 7,146 54,009,516
TOTAL 35,427 321,423,251
NERVAF42 PRBLM FEELING NERVOUS/AFRAID (5-17)-R4/2 2.0 NUM 559 560

-8 DK 9 12,918
-7 REFUSED 9 9,445
-1 INAPPLICABLE 28,248 267,336,506
0 - 4 PROBLEM SCALE 0-4 7,127 53,901,789
TOTAL 35,427 321,423,251
SIBPRO42 PRBLM GETTING ALONG W/SIBS (5-17)-R4/2 2.0 NUM 561 562

-8 DK 8 22,665
-7 REFUSED 7 9,445
-1 INAPPLICABLE 28,248 267,336,506
0 - 4 PROBLEM SCALE 0-4 6,675 49,376,774
99 ASKED, BUT INAPPLICABLE 484 4,662,457
TOTAL 35,427 321,423,251
DATE: July 24, 2017
KIDPRO42 PRBLM GETTING ALONG W/KIDS (5-17)-R4/2 2.0 NUM 563 564

-8 DK 7 10,026
-7 REFUSED 7 9,445
-1 INAPPLICABLE 28,248 267,336,506
0 - 4 PROBLEM SCALE 0-4 7,150 54,015,987
TOTAL 35,427 321,423,251
SPRPRO42 PROBLEM W/SPORTS/HOBBIES (5-17)-R4/2 2.0 NUM 565 566

-8 DK 8 10,026
-7 REFUSED 7 9,445
-1 INAPPLICABLE 28,248 267,336,506
0 - 4 PROBLEM SCALE 0-4 7,066 53,518,426
TOTAL 35,427 321,423,251
SCHPRO42 PROBLEM WITH SCHOOLWORK (5-17)-R4/2 2.0 NUM 567 568

-8 DK 7 10,026
-7 REFUSED 7 9,445
-1 INAPPLICABLE 28,248 267,336,506
0 - 4 PROBLEM SCALE 0-4 7,076 53,376,634
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HOMEBH42 PROBLEM W/BEHAVIOR AT HOME (5-17)-R4/2 2.0 NUM 569 570

-8 DK 8 10,026
-7 REFUSED 7 9,445
-1 INAPPLICABLE 28,248 267,336,506
0 - 4 PROBLEM SCALE 0-4 7,146 53,999,988
TOTAL 35,427 321,423,251
TRBLE42 PRBLM STAY OUT OF TROUBLE (5-17)-R4/2 2.0 NUM 571 572

-8 DK 13 23,911
-7 REFUSED 8 9,445
-1 INAPPLICABLE 28,248 267,336,506
0 - 4 PROBLEM SCALE 0-4 7,140 53,991,813
TOTAL 35,427 321,423,251
CHILCR42 CAHPS:12MOS:ILL/INJ NEED CARE(0-17)-R4/2 2.0 NUM 573 574

-8 DK 14 45,015
-7 REFUSED 17 21,972
-1 INAPPLICABLE 25,819 247,211,267
1 YES 1,891 16,323,771
2 NO 7,684 57,816,230
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CHILWW42 CAHPS:12MOS:ILL CARE WHN WNTD(0-17)-R4/2 2.0 NUM 575 576
-8 DK 7 33,223
-1 INAPPLICABLE 33,536 305,099,480
1 NEVER 19 112,908
2 SOMETIMES 76 462,117
3 USUALLY 182 1,461,967
4 ALWAYS 1,607 14,253,556
TOTAL 35,427 321,423,251
CHRTCR42 CAHPS:12MOS:MAKE ROUT CARE APT(0-17)R4/2 2.0 NUM 577 578

-8 DK 47 390,366
-7 REFUSED 22 48,870
-1 INAPPLICABLE 25,819 247,211,267
1 YES 6,112 51,817,082
2 NO 3,425 21,950,670
TOTAL 35,427 321,423,251
CHRTWW42 CAHPS:12MOS:ROUT APT WHN WNTD(0-17)-R4/2 2.0 NUM 579 580
-8 DK 21 152,603
-7 REFUSED 1 7,238
-1 INAPPLICABLE 29,315 269,606,169
1 NEVER 85 586,779
2 SOMETIMES 331 2,099,429
3 USUALLY 840 6,482,141
4 ALWAYS 4,834 42,488,891
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CHAPPT42 CAHPS:12MOS:# OF OFF/CLIN APTS(0-17)R4/2 2.0 NUM 581 582

-8 DK 69 443,229
-7 REFUSED 27 82,286
-1 INAPPLICABLE 25,819 247,211,267
0 NONE 2,231 14,326,007
1 1 2,912 22,351,388
2 2 1,784 13,802,325
3 3 1,012 8,340,583
4 4 593 5,213,071
5 5 TO 9 726 7,087,305
6 10 OR MORE 252 2,560,793
TOTAL 35,427 321,423,251
CHNDCR42 CAHPS:12MOS:NEED ANY CARE/TRT(0-17)-R4/2 2.0 NUM 583 584
-8 DK 6 30,881
-1 INAPPLICABLE 28,148 262,067,786
1 YES 2,747 26,808,244
2 NO 4,526 32,516,340
TOTAL 35,427 321,423,251
CHENEC42 CAHPS:12MOS:EASY GET NEC CARE (0-17)R4/2 2.0 NUM 585 586

-8 DK 2 15,442
-7 REFUSED 1 33,215
-1 INAPPLICABLE 32,680 294,615,007
1 NEVER 38 221,839
2 SOMETIMES 132 1,072,639
3 USUALLY 384 3,420,826
4 ALWAYS 2,188 22,036,316
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CHLIST42 CAHPS:12MOS:CHLD DR LSN TO YOU(0-17)R4/2 2.0 NUM 587 588
-8 DK 57 421,706
-1 INAPPLICABLE 28,148 262,067,786
1 NEVER 46 282,393
2 SOMETIMES 235 1,564,743
3 USUALLY 958 7,754,122
4 ALWAYS 5,983 49,332,501
TOTAL 35,427 321,423,251
CHEXPL42 CAHPS:12MOS:CHLD DR EXPL THNG(0-17)R4/2 2.0 NUM 589 590
-8 DK 52 328,253
-7 REFUSED 1 9,779
-1 INAPPLICABLE 28,148 262,067,786
1 NEVER 34 279,599
2 SOMETIMES 224 1,386,619
3 USUALLY 944 7,665,428
4 ALWAYS 6,024 49,685,786
TOTAL 35,427 321,423,251
CHRESP42 CAHPS:12MOS:CHLD'S DR SHW RESP(0-17)R4/2 2.0 NUM 591 592
-8 DK 56 379,827
-7 REFUSED 1 9,779
-1 INAPPLICABLE 28,148 262,067,786
1 NEVER 30 196,958
2 SOMETIMES 192 1,537,234
3 USUALLY 770 6,192,108
4 ALWAYS 6,230 51,039,559
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CHPRTM42 CAHPS:12MOS:CHILD DR ENGH TIME(0-17)R4/2 2.0 NUM 593 594
-8 DK 47 358,650
-7 REFUSED 1 9,779
-1 INAPPLICABLE 28,148 262,067,786
1 NEVER 74 456,821
2 SOMETIMES 384 2,791,398
3 USUALLY 1,114 8,762,809
4 ALWAYS 5,659 46,976,009
TOTAL 35,427 321,423,251
CHHECR42 CAHPS:12MOS:RATE CHLD HLT CARE(0-17)R4/2 2.0 NUM 595 596
-8 DK 24 117,115
-7 REFUSED 2 11,913
-1 INAPPLICABLE 28,148 262,067,786
0 WORST HEALTH CARE POSSIBLE 18 86,781
1 - 9 RATING OF CARE 3,410 28,840,230
10 BEST HEALTH CARE POSSIBLE 3,825 30,299,426
TOTAL 35,427 321,423,251
CHSPEC42 CAHPS:12MOS:CHLD NEEDED SPEC(0-17)R4/2 2.0 NUM 597 598

-8 DK 26 155,049
-7 REFUSED 26 75,658
-1 INAPPLICABLE 25,819 247,211,267
1 YES 1,436 12,968,531
2 NO 8,118 61,007,750
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CHEYRE42 CAHPS:12MOS:ESY W/RFR TO SPEC(0-17)-R4/2 2.0 NUM 599 600

-8 DK 36 275,038
-7 REFUSED 1 7,238
-1 INAPPLICABLE 33,991 308,454,719
1 NEVER 108 777,603
2 SOMETIMES 180 1,565,419
3 USUALLY 245 2,169,666
4 ALWAYS 865 8,171,110
TOTAL 35,427 321,423,251
MESHGT42 DOCTOR EVER MEASURED HEIGHT (0-17)-R4/2 2.0 NUM 601 602

-8 DK 119 722,656
-7 REFUSED 25 67,883
-1 INAPPLICABLE 25,819 247,211,267
1 YES 8,985 70,686,767
2 NO 477 2,729,682
TOTAL 35,427 321,423,251
WHNHGT42 WHEN DOCTOR MEASURED HEIGHT (0-17)-R4/2 2.0 NUM 603 604
-8 DK 61 393,281
-1 INAPPLICABLE 26,442 250,736,484
1 WITHIN PAST YEAR 7,725 61,740,663
3 MORE THAN 2 YEARS 204 1,337,604
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MESWGT42 DOCTOR EVER MEASURED WEIGHT (0-17)-R4/2 2.0 NUM 605 606

-8 DK 102 724,550
-7 REFUSED 23 53,646
-1 INAPPLICABLE 25,819 247,211,267
1 YES 9,148 71,428,849
2 NO 333 1,999,944
TOTAL 35,427 321,423,251
WHNWGT42 WHEN DOCTOR MEASURED WEIGHT (0-17)-R4/2 2.0 NUM 607 608
-8 DK 57 321,038
-1 INAPPLICABLE 26,279 249,994,402
3 MORE THAN 2 YEARS 171 1,017,654
TOTAL 35,427 321,423,251
CHBMIX42 CHILD'S BODY MASS INDEX (6-17)-R4/2 4.1 NUM 609 612

-1 INAPPLICABLE 28,803 271,336,949
6.8 - 94.7 BODY MASS INDEX 5,150 41,749,774
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MESVIS42 DOCTOR CHECKED CHILD'S VISION (3-6)-R4/2 2.0 NUM 613 614

-8 DK 42 427,580
-7 REFUSED 5 2,590
-1 INAPPLICABLE 33,253 304,892,756
1 YES 1,540 11,765,566
2 NO 571 4,183,006
3 TRIED, BUT PERSON WAS UNCOOPERATIVE 13 124,495
TOTAL 35,427 321,423,251
MESBPR42 DR CHECKED BLOOD PRESSURE (2-17)-R4/2 2.0 NUM 615 616

-8 DK 367 2,987,644
-7 REFUSED 18 28,480
-1 INAPPLICABLE 26,718 255,063,657
1 YES 6,329 48,621,874
2 NO 1,978 14,609,190
3 TRIED, BUT PERSON WAS UNCOOPERATIVE 15 107,411
TOTAL 35,427 321,423,251
WHNBPR42 WHEN DR CHECKED BLOOD PRESS (2-17)-R4/2 2.0 NUM 617 618
-8 DK 33 232,228
-1 INAPPLICABLE 29,083 272,693,967
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DENTAL42 DR ADVISE REG DENTAL CHECKUP (2-17)-R4/2 2.0 NUM 619 620

-8 DK 143 1,087,956
-7 REFUSED 21 42,582
-1 INAPPLICABLE 26,718 255,063,657
1 YES 5,214 40,667,484
2 NO 3,329 24,556,576
TOTAL 35,427 321,423,251
WHNDEN42 WHEN DR ADVISE DENT CHECKUP (2-17)-R4/2 2.0 NUM 621 622
-8 DK 30 262,920
-1 INAPPLICABLE 30,213 280,755,767
3 MORE THAN 2 YEARS 267 2,529,071
TOTAL 35,427 321,423,251
EATHLT42 DR ADVISE EAT HEALTHY (2-17)-R4/2 2.0 NUM 623 624

-8 DK 134 1,014,503
-7 REFUSED 20 42,582
-1 INAPPLICABLE 26,718 255,063,657
1 YES 5,704 44,103,066
2 NO 2,849 21,194,446
TOTAL 35,427 321,423,251
DATE: July 24, 2017
WHNEAT42 WHEN DR ADVISE EAT HEALTHY (2-17)-R4/2 2.0 NUM 625 626
-8 DK 30 217,129
-1 INAPPLICABLE 29,723 277,320,185
3 MORE THAN 2 YEARS 272 2,231,060
TOTAL 35,427 321,423,251
PHYSCL42 DR ADVISE EXERCISE (2-17)-R4/2 2.0 NUM 627 628

-8 DK 155 1,293,096
-7 REFUSED 22 58,129
-1 INAPPLICABLE 26,718 255,063,657
1 YES 4,241 32,292,266
2 NO 4,289 32,711,107
TOTAL 35,427 321,423,251
WHNPHY42 WHEN DR ADVISE EXERCISE (2-17)-R4/2 2.0 NUM 629 630
-8 DK 22 165,681
-1 INAPPLICABLE 31,186 289,130,985
3 MORE THAN 2 YEARS 147 1,142,264
TOTAL 35,427 321,423,251
DATE: July 24, 2017
SAFEST42 DR ADVISE CHLD SAFETY SEAT (WT<=40)-R4/2 2.0 NUM 631 632

-8 DK 27 153,026
-7 REFUSED 7 5,379
-1 INAPPLICABLE 32,958 300,954,157
1 YES 1,691 14,031,850
2 NO 743 6,268,156
TOTAL 35,427 321,423,251
WHNSAF42 WHEN DR ADVISE SAFETY SEAT (WT<=40)-R4/2 2.0 NUM 633 634
-8 DK 7 30,983
-1 INAPPLICABLE 33,736 307,391,401
TOTAL 35,427 321,423,251
BOOST42 DR ADVISE BOOSTER SEAT (40<WT<=80)-R4/2 2.0 NUM 635 636

-8 DK 51 426,693
-7 REFUSED 9 16,178
-1 INAPPLICABLE 32,450 300,256,692
1 YES 1,448 10,264,130
2 NO 1,465 10,451,272
TOTAL 35,427 321,423,251
DATE: July 24, 2017
WHNBST42 WHN DR ADVISE BOOST SEAT(40<WT<=80)-R4/2 2.0 NUM 637 638

-8 DK 10 53,549
-1 INAPPLICABLE 33,979 311,159,121
3 MORE THAN 2 YEARS 231 2,000,282
TOTAL 35,427 321,423,251
LAPBLT42 DR ADVISE LAP/SHOULDER BELT (80<WT)-R4/2 2.0 NUM 639 640

-8 DK 96 853,725
-7 REFUSED 6 24,296
-1 INAPPLICABLE 31,265 288,846,920
1 YES 1,787 13,320,570
2 NO 2,270 18,370,497
TOTAL 35,427 321,423,251
WHNLAP42 WHN DR ADVISE LAP/SHLDR BLT (80<WT)-R4/2 2.0 NUM 641 642
-8 DK 6 44,635
-1 INAPPLICABLE 33,640 308,102,680
3 MORE THAN 2 YEARS 220 2,135,104
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HELMET42 DR ADVISE BIKE HELMET (2-17)-R4/2 2.0 NUM 643 644

-8 DK 180 1,427,923
-7 REFUSED 22 61,330
-1 INAPPLICABLE 26,718 255,063,657
1 YES 3,737 28,445,164
2 NO 4,768 36,420,181
TOTAL 35,427 321,423,251
WHNHEL42 WHEN DR ADVISE BIKE HELMET (2-17)-R4/2 2.0 NUM 645 646
-8 DK 20 118,144
-1 INAPPLICABLE 31,690 292,978,087
3 MORE THAN 2 YEARS 349 3,542,836
TOTAL 35,427 321,423,251
NOSMOK42 DR ADVISE SMKG IN HOME IS BAD(0-17)-R4/2 2.0 NUM 647 648

-8 DK 155 1,239,192
-7 REFUSED 26 86,733
-1 INAPPLICABLE 25,819 247,211,267
1 YES 5,327 38,450,076
2 NO 4,098 34,430,987
TOTAL 35,427 321,423,251
DATE: July 24, 2017
WHNSMK42 WHN DR ADVIS SMKG IN HOME BAD(0-17)-R4/2 2.0 NUM 649 650
-8 DK 25 150,455
-1 INAPPLICABLE 30,100 282,973,174
3 MORE THAN 2 YEARS 591 5,197,799
TOTAL 35,427 321,423,251
TIMALN42 DOCTOR SPEND ANY TIME ALONE (12-17)-R4/2 2.0 NUM 651 652

-8 DK 84 552,328
-7 REFUSED 4 35,675
-1 INAPPLICABLE 32,210 295,631,677
1 YES 766 6,717,784
2 NO 2,361 18,480,791
TOTAL 35,427 321,423,251
DENTCK53 HOW OFTEN DENTAL CHECK-UP - RD 5/3 2.0 NUM 653 654

-8 DK 490 2,573,358
-7 REFUSED 151 804,334
1 TWICE A YEAR OR MORE 13,967 140,694,924
2 ONCE A YEAR 8,765 71,622,279
3 LESS THAN ONCE A YEAR 5,383 49,670,005
4 NEVER GO TO DENTIST 5,972 48,877,255
TOTAL 35,427 321,423,251
DATE: July 24, 2017
BPCHEK53 TIME SNCE LST BLOOD PRES CHK (>17)-RD5/3 2.0 NUM 655 656

-8 DK 815 5,425,732
-7 REFUSED 147 833,773
-1 INAPPLICABLE 9,877 77,282,009
1 WITHIN PAST YEAR 19,815 198,274,360
2 WITHIN PAST 2 YEARS 2,395 20,884,458
5 MORE THAN 5 YEARS 634 5,201,671
6 NEVER 461 2,817,174
TOTAL 35,427 321,423,251
CHOLCK53 HOW LNG CHOLEST LST CHCK (>17) - RD 5/3 2.0 NUM 657 658

-8 DK 1,533 12,677,805
-7 REFUSED 143 863,738
-1 INAPPLICABLE 9,877 77,282,009
1 WITHIN PAST YEAR 15,559 152,552,545
5 MORE THAN 5 YEARS 880 8,505,809
6 NEVER 2,901 26,778,031
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CHECK53 HOW LNG LST ROUTNE CHECKUP (>17)-RD 5/3 2.0 NUM 659 660

-8 DK 940 6,320,625
-7 REFUSED 134 786,724
-1 INAPPLICABLE 9,877 77,282,009
1 WITHIN PAST YEAR 16,750 164,229,090
5 MORE THAN 5 YEARS 1,363 13,925,488
6 NEVER 899 6,430,171
TOTAL 35,427 321,423,251
NOFAT53 RESTRICT HGH FAT/CHOLES FOOD (>17)-RD5/3 2.0 NUM 661 662

-8 DK 883 6,369,186
-7 REFUSED 134 852,986
-1 INAPPLICABLE 9,877 77,282,009
1 YES 8,753 82,310,405
2 NO 15,769 154,604,294
TOTAL 35,427 321,423,251
EXRCIS53 ADVISED TO EXERCISE MORE (>17) - RD 5/3 2.0 NUM 663 664

-8 DK 825 5,803,296
-7 REFUSED 130 840,258
-1 INAPPLICABLE 9,877 77,282,009
1 YES 10,640 99,763,598
2 NO 13,944 137,729,720
TOTAL 35,427 321,423,251
DATE: July 24, 2017
FLUSHT53 HOW LNG LAST FLU VACINATION (>17)-RD 5/3 2.0 NUM 665 666

-8 DK 1,031 7,362,062
-7 REFUSED 139 930,372
-1 INAPPLICABLE 9,877 77,282,009
1 WITHIN PAST YEAR 10,220 105,056,548
5 MORE THAN 5 YEARS 1,734 17,620,019
6 NEVER 8,321 74,233,721
TOTAL 35,427 321,423,251
ASPRIN53 TKE ASPIRN EVERY (OTHR) DAY (>17)-RD 5/3 2.0 NUM 667 668

-8 DK 373 2,306,324
-7 REFUSED 136 899,933
-1 INAPPLICABLE 9,877 77,282,009
1 YES 4,173 44,511,169
2 NO 20,857 196,419,444
TOTAL 35,427 321,423,251
NOASPR53 TAKING ASPIRIN UNSAFE (>17) - RD 5/3 2.0 NUM 669 670
-8 DK 83 614,929
-1 INAPPLICABLE 14,570 125,003,807
1 YES 1,042 10,568,786
2 NO 19,732 185,235,729
TOTAL 35,427 321,423,251
DATE: July 24, 2017
STOMCH53 TKE ASPRN UNSAFE B/C STOMCH (>17)-RD 5/3 2.0 NUM 671 672
-8 DK 5 24,166
-1 INAPPLICABLE 34,385 310,854,465
1 YES 394 3,929,959
2 NO 643 6,614,662
TOTAL 35,427 321,423,251
LSTETH53 LOST ALL UPPR AND LOWR TEETH (>17)-RD5/3 2.0 NUM 673 674

-8 DK 187 932,313
-7 REFUSED 136 849,715
-1 INAPPLICABLE 9,877 77,282,009
1 YES 1,751 16,601,067
2 NO 23,465 225,753,775
TOTAL 35,427 321,423,251
PSA53 HOW LONG SINCE LAST PSA (>39) - RD 5/3 2.0 NUM 675 676

-8 DK 773 6,974,760
-7 REFUSED 45 393,808
-1 INAPPLICABLE 28,619 250,089,156
5 MORE THAN 5 YEARS 248 2,716,922
6 NEVER 2,330 22,651,156
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HYSTER53 HAD A HYSTERECTOMY (>17) - RD 5/3 2.0 NUM 677 678

-8 DK 176 983,249
-7 REFUSED 71 461,881
-1 INAPPLICABLE 21,783 194,951,900
1 YES 2,309 24,283,923
2 NO 11,076 100,686,007
TOTAL 35,427 321,423,251
PAPSMR53 HOW LNG LST PAP SMEAR TST (>17) - RD 5/3 2.0 NUM 679 680

-8 DK 1,014 7,510,983
-7 REFUSED 80 554,375
-1 INAPPLICABLE 21,783 194,951,900
5 MORE THAN 5 YEARS 1,643 17,010,446
6 NEVER 917 7,167,737
TOTAL 35,427 321,423,251
DATE: July 24, 2017
BRSTEX53 HOW LNG SNCE LST BREAST EXAM (>17)-RD5/3 2.0 NUM 681 682

-8 DK 945 6,885,041
-7 REFUSED 77 510,988
-1 INAPPLICABLE 21,783 194,951,900
5 MORE THAN 5 YEARS 856 8,166,448
6 NEVER 1,359 9,998,911
TOTAL 35,427 321,423,251
MAMOGR53 HOW LNG SNCE LST MAMMOGRAM (>29) - RD5/3 2.0 NUM 683 684

-8 DK 607 4,691,455
-7 REFUSED 63 432,373
-1 INAPPLICABLE 24,723 220,862,273
5 MORE THAN 5 YEARS 680 6,684,580
6 NEVER 2,560 21,458,056
TOTAL 35,427 321,423,251
DATE: July 24, 2017
BSTST53 MST RCNT BLD STOOL TST HME KIT(>39)-R5/3 2.0 NUM 685 686

-8 DK 929 7,526,737
-7 REFUSED 101 760,187
-1 INAPPLICABLE 20,395 170,360,859
6 MORE THAN 10 YEARS 467 5,657,200
7 NEVER 10,097 103,294,400
TOTAL 35,427 321,423,251
BSTSRE53 RSN HAVE BLD STOOL TST (>39)-R5/3 2.0 NUM 687 688
-8 DK 48 461,931
-1 INAPPLICABLE 31,536 281,950,600
1 PART OF A ROUTINE EXAM 3,180 32,330,073
2 BECAUSE OF A PROBLEM 584 5,859,923
3 SOME OTHER REASON 79 820,724
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CLNTST53 MOST RECENT COLONOSCOPY (>39) - R5/3 2.0 NUM 689 690

-8 DK 659 4,726,834
-7 REFUSED 93 680,855
-1 INAPPLICABLE 20,395 170,360,859
6 MORE THAN 10 YEARS 403 4,570,895
7 NEVER 7,514 69,392,530
TOTAL 35,427 321,423,251
CLNTRE53 RSN HAVE COLONOSCOPY (>39)-R5/3 2.0 NUM 691 692
-8 DK 26 195,257
-1 INAPPLICABLE 28,675 245,169,496
1 PART OF A ROUTINE EXAM 5,294 60,472,939
2 BECAUSE OF A PROBLEM 1,290 13,893,131
3 SOME OTHER REASON 142 1,692,427
TOTAL 35,427 321,423,251
DATE: July 24, 2017
SGMTST53 MOST RECENT SIGMOIDOSCOPY (>39) - R5/3 2.0 NUM 693 694

-8 DK 753 5,671,047
-7 REFUSED 96 705,658
-1 INAPPLICABLE 20,395 170,360,859
1 WITHIN PAST YEAR 166 1,374,915
6 MORE THAN 10 YEARS 351 5,046,464
7 NEVER 13,122 132,763,202
TOTAL 35,427 321,423,251
SGMTRE53 RSN HAVE SIGMOIDOSCOPY (>39)-R5/3 2.0 NUM 695 696
-8 DK 10 134,216
-1 INAPPLICABLE 34,380 309,509,183
1 PART OF A ROUTINE EXAM 674 7,511,272
2 BECAUSE OF A PROBLEM 333 3,983,050
3 SOME OTHER REASON 30 285,530
TOTAL 35,427 321,423,251
PHYEXE53 MOD/VIG PHYS EXEC 5X WK (>17) - RD 5/3 2.0 NUM 697 698

-8 DK 292 1,596,633
-7 REFUSED 133 826,785
-1 INAPPLICABLE 9,877 77,282,009
1 YES 12,500 125,646,555
2 NO 12,614 116,066,898
TOTAL 35,427 321,423,251
DATE: July 24, 2017
BMINDX53 ADULT BODY MASS INDEX (>17) - RD 5/3 5.1 NUM 699 703

-1 INAPPLICABLE 9,877 77,282,009
7.0 - 282.4 BODY MASS INDEX 24,810 239,237,279
TOTAL 35,427 321,423,251
SEATBE53 WEARS SEAT BELT (>15) - RD 5/3 2.0 NUM 704 705
-8 DK 137 818,455
-7 REFUSED 115 731,670
-1 INAPPLICABLE 8,816 68,348,492
1 ALWAYS 23,865 226,495,549
2 NEARLY ALWAYS 1,237 13,260,396
3 SOMETIMES 716 6,807,225
4 SELDOM 169 1,747,052
5 NEVER 263 2,602,038
6 NEVER DRIVES/RIDES IN A CAR 99 612,372
TOTAL 35,427 321,423,251
SAQELIG ELIGIBILITY STATUS FOR SAQ 1.0 NUM 706 706
0 NOT ELIGIBLE FOR SAQ 10,254 78,459,296

1 ELIGIBLE FOR SAQ - HAS SAQ DATA 21,691 216,993,360
2 ELIGIBLE FOR SAQ - NO SAQ DATA 3,482 25,970,595
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ADPRXY42 SAQ: RELATIONSHIP OF PROXY TO ADULT 3.0 NUM 707 709

-1 INAPPLICABLE 13,794 104,472,445
1 SELF ADMINISTERED 19,452 196,617,628
2 SPOUSE (HUSBAND/WIFE) 866 9,753,616
3 UNMARRIED PARTNER 96 722,795
4 CHILD (BLGICAL/ADPT/INLW/STEP/FSTER) 404 2,971,087
5 GRANDCHILD 27 209,860
6 PARENT (BLGICAL/ADPT/INLW/STEP/FSTER) 405 3,888,464
7 SIBLING (BLGICAL/ADPT/INLW/STEP/FSTER) 104 751,363
9 AUNT/UNCLE 8 58,781
49 NOT PERSON ON SAQ LABEL,RELATIONSHIP UNK 11 84,632
91 OTHER RELATED, SPECIFY 8 68,626
99 NOT RELATED 56 422,512
100 INTERVIEWER ADMINISTERED 158 1,069,946
TOTAL 35,427 321,423,251
ADILCR42 SAQ 12MOS: ILL/INJURY NEEDING IMMED CARE 2.0 NUM 710 711

-1 INAPPLICABLE 13,794 104,472,445
1 YES 5,318 55,974,979
2 NO 15,517 153,779,024
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ADILWW42 SAQ 12 MOS: GOT CARE WHEN NEEDED ILL/INJ 2.0 NUM 712 713

-1 INAPPLICABLE 29,311 258,251,469
1 NEVER 149 1,125,835
2 SOMETIMES 599 5,833,998
3 USUALLY 1,273 12,717,977
4 ALWAYS 3,310 36,077,535
TOTAL 35,427 321,423,251
ADRTCR42 SAQ 12 MOS: MADE APPT ROUTINE MED CARE 2.0 NUM 714 715

-1 INAPPLICABLE 13,794 104,472,445
1 YES 12,035 131,695,319
2 NO 8,597 76,227,675
TOTAL 35,427 321,423,251
ADRTWW42 SAQ 12 MOS: GOT MED APPT WHEN WANTED 2.0 NUM 716 717

-1 INAPPLICABLE 22,391 180,700,120
1 NEVER 355 3,557,487
2 SOMETIMES 1,550 15,158,610
3 USUALLY 3,387 37,306,561
4 ALWAYS 6,695 74,907,292
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ADAPPT42 SAQ 12 MOS: # VISITS TO MED OFF FOR CARE 2.0 NUM 718 719

-1 INAPPLICABLE 13,794 104,472,445
0 NONE 7,489 65,279,583
1 1 3,171 33,165,588
2 2 2,852 30,491,181
3 3 1,981 21,483,502
4 4 1,547 16,740,094
5 5 TO 9 2,176 24,819,374
6 10 OR MORE 1,431 16,332,147
TOTAL 35,427 321,423,251
ADNDCR42 SAQ 12MOS: NEED ANY CARE, TEST, TREATMNT 2.0 NUM 720 721

-1 INAPPLICABLE 21,283 169,752,028
1 YES 9,297 105,610,614
2 NO 3,947 38,024,523
TOTAL 35,427 321,423,251
ADEGMC42 SAQ 12MOS: EASY GETTING NEEDED MED CARE 2.0 NUM 722 723

-1 INAPPLICABLE 25,230 207,776,551
1 NEVER 132 1,164,454
2 SOMETIMES 719 6,698,684
3 USUALLY 2,420 25,728,422
4 ALWAYS 6,083 72,359,305
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ADLIST42 SAQ 12 MOS: DOCTOR LISTENED TO YOU 2.0 NUM 724 725

-1 INAPPLICABLE 21,283 169,752,028
1 NEVER 187 1,351,761
2 SOMETIMES 898 8,715,823
3 USUALLY 3,558 39,276,224
4 ALWAYS 8,698 95,276,869
TOTAL 35,427 321,423,251
ADEXPL42 SAQ 12 MOS: DOC EXPLAINED SO UNDERSTOOD 2.0 NUM 726 727

-1 INAPPLICABLE 21,283 169,752,028
1 NEVER 175 1,248,469
2 SOMETIMES 700 6,476,483
3 USUALLY 3,810 41,633,278
4 ALWAYS 8,784 96,176,597
TOTAL 35,427 321,423,251
ADRESP42 SAQ 12 MOS: DR SHOWED RESPECT 2.0 NUM 728 729

-1 INAPPLICABLE 21,283 169,752,028
1 NEVER 161 1,072,813
2 SOMETIMES 723 7,329,161
3 USUALLY 3,253 35,656,866
4 ALWAYS 9,314 101,393,856
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ADPRTM42 SAQ 12 MOS: DR SPENT ENUF TIME WITH YOU 2.0 NUM 730 731

-1 INAPPLICABLE 21,283 169,752,028
1 NEVER 258 2,079,394
2 SOMETIMES 1,199 12,174,425
3 USUALLY 4,459 48,515,024
4 ALWAYS 7,514 82,549,976
TOTAL 35,427 321,423,251
ADINST42 SAQ 12 MOS: DR GAVE SPCIFC INSTRCTNS 2.0 NUM 732 733

-1 INAPPLICABLE 21,283 169,752,028
1 YES 9,874 109,918,849
2 NO 3,379 33,920,559
TOTAL 35,427 321,423,251
ADEZUN42 SAQ 12 MOS: DR GIVEN INSTR. EZ UNDRSTD 2.0 NUM 734 735

-1 INAPPLICABLE 24,662 203,672,587
1 NEVER 34 257,861
2 SOMETIMES 434 3,774,106
3 USUALLY 2,854 30,942,310
4 ALWAYS 6,534 74,299,350
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ADTLHW42 SAQ 12 MOS: DR ASKED R DESC HOW FOLLOW 2.0 NUM 736 737

-1 INAPPLICABLE 24,662 203,672,587
1 NEVER 2,511 31,514,974
2 SOMETIMES 1,663 19,709,883
3 USUALLY 2,363 24,883,960
4 ALWAYS 3,329 33,072,063
TOTAL 35,427 321,423,251
ADFFRM42 SAQ 12 MOS: HAD TO FILL OUT/SIGN FORMS 2.0 NUM 738 739

-1 INAPPLICABLE 21,283 169,752,028
1 YES 7,776 90,198,038
2 NO 5,423 53,221,721
TOTAL 35,427 321,423,251
ADFHLP42 SAQ 12 MOS: OFFRD HELP FILLING OUT FORMS 2.0 NUM 740 741

-1 INAPPLICABLE 26,706 222,973,749
1 NEVER 3,844 47,349,889
2 SOMETIMES 1,408 15,709,116
3 USUALLY 1,184 12,071,892
4 ALWAYS 1,463 15,750,237
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ADHECR42 SAQ 12 MOS: RATING OF HEALTH CARE 2.0 NUM 742 743

-1 INAPPLICABLE 21,283 169,752,028
0 WORST HEALTH CARE POSSIBLE 64 462,042
1 - 9 RATING OF CARE 9,030 99,663,801
10 BEST HEALTH CARE POSSIBLE 4,249 44,422,357
TOTAL 35,427 321,423,251
ADSMOK42 SAQ: CURRENTLY SMOKE 2.0 NUM 744 745

-1 INAPPLICABLE 13,794 104,472,445
1 YES 3,252 32,409,146
2 NO 17,927 180,589,026
TOTAL 35,427 321,423,251
ADNSMK42 SAQ 12MOS: DR ADVISED TO QUIT SMOKING 2.0 NUM 746 747

-1 INAPPLICABLE 31,721 285,061,471
1 YES 1,667 16,569,093
2 NO 988 9,757,778
3 HAD NO VISITS IN THE LAST 12 MONTHS 621 6,071,845
TOTAL 35,427 321,423,251
ADDRBP42 SAQ 2 YRS: DR CHECKED BLOOD PRESSURE 2.0 NUM 748 749

-1 INAPPLICABLE 13,794 104,472,445
1 YES 17,497 184,241,740
2 NO 3,549 27,458,338
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ADSPEC42 SAQ 12 MOS: NEEDED TO SEE SPECIALIST 2.0 NUM 750 751

-1 INAPPLICABLE 13,794 104,472,445
1 YES 6,685 76,038,116
2 NO 14,394 136,388,394
TOTAL 35,427 321,423,251
ADESSP42 SAQ 12MOS: HOW ESY TO SEE SPECIALIST 2.0 NUM 752 753

-1 INAPPLICABLE 28,188 240,860,839
1 NEVER 383 3,590,685
2 SOMETIMES 880 9,085,218
3 USUALLY 2,024 22,613,499
4 ALWAYS 3,423 40,677,842
TOTAL 35,427 321,423,251
ADGENH42 SAQ: HEALTH IN GENERAL SF-12V2 2.0 NUM 754 755

-1 INAPPLICABLE 13,794 104,472,445
1 EXCELLENT 4,050 42,203,901
2 VERY GOOD 7,045 78,758,284
3 GOOD 6,738 64,931,844
4 FAIR 2,875 23,109,718
5 POOR 584 5,026,565
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ADDAYA42 SAQ: HLTH LIMITS MOD ACTIVITIES SF-12V2 2.0 NUM 756 757

-1 INAPPLICABLE 13,794 104,472,445
1 LIMITED A LOT 2,019 18,719,032
2 LIMITED A LITTLE 3,354 32,756,389
3 NOT LIMITED 16,012 163,350,333
TOTAL 35,427 321,423,251
ADCLIM42 SAQ: HLTH LIMITS CLIMBING STAIRS SF-12V2 2.0 NUM 758 759

-1 INAPPLICABLE 13,794 104,472,445
1 LIMITED A LOT 2,390 22,454,958
2 LIMITED A LITTLE 3,873 39,263,278
3 NOT LIMITED 15,038 152,802,543
TOTAL 35,427 321,423,251
ADPALS42 SAQ 4WKS:ACCMP LESS B/C PHY PRBS SF-12V2 2.0 NUM 760 761

-1 INAPPLICABLE 13,794 104,472,445
1 ALL OF THE TIME 1,015 9,000,000
2 MOST OF THE TIME 1,490 14,265,378
3 SOME OF THE TIME 2,947 28,629,890
4 LITTLE OF THE TIME 3,509 37,225,331
5 NONE OF THE TIME 12,402 125,691,897
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ADPWLM42 SAQ 4WKS:WORK LIMT B/C PHY PROBS SF-12V2 2.0 NUM 762 763

-1 INAPPLICABLE 13,794 104,472,445
1 ALL OF THE TIME 1,080 9,869,995
2 MOST OF THE TIME 1,230 11,737,131
3 SOME OF THE TIME 2,619 24,893,543
5 NONE OF THE TIME 13,494 136,318,642
TOTAL 35,427 321,423,251
ADMALS42 SAQ 4WKS:ACCMP LESS B/C MNT PRBS SF-12V2 2.0 NUM 764 765

-1 INAPPLICABLE 13,794 104,472,445
1 ALL OF THE TIME 581 4,770,087
2 MOST OF THE TIME 923 8,339,541
3 SOME OF THE TIME 2,418 22,515,462
5 NONE OF THE TIME 14,242 146,674,677
TOTAL 35,427 321,423,251
ADMWLM42 SAQ 4WKS:WORK LIMT B/C MNT PROBS SF-12V2 2.0 NUM 766 767

-1 INAPPLICABLE 13,794 104,472,445
1 ALL OF THE TIME 495 3,697,349
3 SOME OF THE TIME 2,131 19,371,652
5 NONE OF THE TIME 14,819 153,167,084
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ADPAIN42 SAQ 4WKS:PAIN LIMITS NORMAL WORK SF-12V2 2.0 NUM 768 769

-1 INAPPLICABLE 13,794 104,472,445
1 NOT AT ALL 12,191 121,790,899
2 A LITTLE BIT 4,678 49,536,470
3 MODERATELY 2,028 20,647,753
4 QUITE A BIT 1,739 16,504,946
5 EXTREMELY 738 6,554,026
TOTAL 35,427 321,423,251
ADCAPE42 SAQ 4WKS: FELT CALM/PEACEFUL SF-12V2 2.0 NUM 770 771

-1 INAPPLICABLE 13,794 104,472,445
1 ALL OF THE TIME 4,726 38,951,218
2 MOST OF THE TIME 9,620 106,866,376
3 SOME OF THE TIME 4,415 46,187,772
5 NONE OF THE TIME 990 6,626,592
TOTAL 35,427 321,423,251
ADNRGY42 SAQ 4WKS: HAD A LOT OF ENERGY SF-12V2 2.0 NUM 772 773

-1 INAPPLICABLE 13,794 104,472,445
1 ALL OF THE TIME 3,557 27,761,480
2 MOST OF THE TIME 8,869 95,658,885
3 SOME OF THE TIME 5,637 58,527,657
5 NONE OF THE TIME 1,081 10,066,067
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ADDOWN42 SAQ 4WKS: FELT DOWNHEARTED/DEPR SF-12V2 2.0 NUM 774 775

-1 INAPPLICABLE 13,794 104,472,445
1 ALL OF THE TIME 343 2,614,091
3 SOME OF THE TIME 3,422 31,387,853
5 NONE OF THE TIME 11,345 113,906,652
TOTAL 35,427 321,423,251
ADSOCA42 SAQ 4WKS: HLTH STOPPED SOC ACTIV SF-12V2 2.0 NUM 776 777

-1 INAPPLICABLE 13,794 104,472,445
1 ALL OF THE TIME 617 5,254,024
3 SOME OF THE TIME 2,589 24,167,013
5 NONE OF THE TIME 14,028 143,685,071
TOTAL 35,427 321,423,251
PCS42 SAQ:PHY COMPONENT SUMMRY SF-12V2 IMPUTED 5.2 NUM 778 782

-1 INAPPLICABLE 13,794 104,472,445
4.41 - 72.07 21,355 214,808,134
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCS42 SAQ:MNT COMPONENT SUMMRY SF-12V2 IMPUTED 5.2 NUM 783 787

-1 INAPPLICABLE 13,794 104,472,445
0.05 - 75.51 21,371 214,924,093
TOTAL 35,427 321,423,251
SFFLAG42 SAQ: PCS/MCS IMPUTATION FLAG SF-12V2 2.0 NUM 788 789
-1 INAPPLICABLE 13,794 104,472,445

0 NO 20,743 209,960,985
1 YES 890 6,989,821
TOTAL 35,427 321,423,251
ADNERV42 SAQ 30 DAYS: HOW OFTEN FELT NERVOUS 2.0 NUM 790 791

-1 INAPPLICABLE 13,794 104,472,445
0 NONE OF THE TIME 11,341 108,452,070
2 SOME OF THE TIME 2,853 30,279,767
4 ALL OF THE TIME 319 2,567,509
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ADHOPE42 SAQ 30 DAYS: HOW OFTEN FELT HOPELESS 2.0 NUM 792 793

-1 INAPPLICABLE 13,794 104,472,445
0 NONE OF THE TIME 15,995 165,520,048
2 SOME OF THE TIME 1,435 13,421,789
4 ALL OF THE TIME 246 1,805,719
TOTAL 35,427 321,423,251
ADREST42 SAQ 30 DAYS: HOW OFTEN FELT RESTLESS 2.0 NUM 794 795

-1 INAPPLICABLE 13,794 104,472,445
0 NONE OF THE TIME 11,840 115,280,324
2 SOME OF THE TIME 2,737 28,102,928
4 ALL OF THE TIME 372 3,208,170
TOTAL 35,427 321,423,251
ADSAD42 SAQ 30 DAYS: HOW OFTEN FELT SAD 2.0 NUM 796 797

-1 INAPPLICABLE 13,794 104,472,445
0 NONE OF THE TIME 16,664 172,626,054
2 SOME OF THE TIME 1,292 11,562,665
4 ALL OF THE TIME 176 1,280,218
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ADEFRT42 SAQ 30 DAYS: HOW OFTN EVRYTHNG AN EFFORT 2.0 NUM 798 799

-1 INAPPLICABLE 13,794 104,472,445
0 NONE OF THE TIME 13,356 134,201,432
2 SOME OF THE TIME 2,062 20,114,763
3 MOST OF THE TIME 1,016 10,183,784
4 ALL OF THE TIME 534 4,366,796
TOTAL 35,427 321,423,251
ADWRTH42 SAQ 30 DAYS: HOW OFTEN FELT WORTHLESS 2.0 NUM 800 801

-1 INAPPLICABLE 13,794 104,472,445
0 NONE OF THE TIME 17,632 180,004,805
2 SOME OF THE TIME 994 9,262,171
4 ALL OF THE TIME 230 1,692,669
TOTAL 35,427 321,423,251
K6SUM42 SAQ 30 DAYS: OVERALL RATING OF FEELINGS 2.0 NUM 802 803

-1 INAPPLICABLE 13,794 104,472,445
0 - 24 RATING OF LAST 30 DAYS 20,853 211,049,651
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ADINTR42 SAQ 2 WKS: LITTLE INTEREST IN THINGS 2.0 NUM 804 805

-1 INAPPLICABLE 13,794 104,472,445
0 NOT AT ALL 16,178 165,611,287
1 SEVERAL DAYS 3,372 33,541,359
2 MORE THAN HALF THE DAYS 1,032 9,232,604
3 NEARLY EVERY DAY 656 5,321,101
TOTAL 35,427 321,423,251
ADDPRS42 SAQ 2 WKS: FELT DOWN/DEPRESSED/HOPELESS 2.0 NUM 806 807

-1 INAPPLICABLE 13,794 104,472,445
0 NOT AT ALL 16,477 167,486,809
1 SEVERAL DAYS 3,341 34,038,617
2 MORE THAN HALF THE DAYS 877 7,725,773
3 NEARLY EVERY DAY 502 4,155,842
TOTAL 35,427 321,423,251
PHQ242 SAQ 2 WKS: OVERALL RATING OF FEELINGS 2.0 NUM 808 809

-1 INAPPLICABLE 13,794 104,472,445
0 - 6 RATING OF LAST 2 WEEKS 21,155 212,998,305
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ADINSA42 SAQ: DO NOT NEED HEALTH INSURANCE 2.0 NUM 810 811

-1 INAPPLICABLE 13,794 104,472,445
1 DISAGREE STRONGLY 12,637 130,479,646
2 DISAGREE SOMEWHAT 3,461 34,831,116
3 UNCERTAIN 1,901 17,227,830
4 AGREE SOMEWHAT 2,171 22,081,963
5 AGREE STRONGLY 946 8,264,721
TOTAL 35,427 321,423,251
ADINSB42 SAQ: HEALTH INSURANCE NOT WORTH COST 2.0 NUM 812 813

-1 INAPPLICABLE 13,794 104,472,445
3 UNCERTAIN 3,481 30,883,182
4 AGREE SOMEWHAT 3,125 32,727,967
5 AGREE STRONGLY 2,081 19,801,941
TOTAL 35,427 321,423,251
ADRISK42 SAQ: MORE LIKELY TO TAKE RISKS 2.0 NUM 814 815

-1 INAPPLICABLE 13,794 104,472,445
3 UNCERTAIN 3,578 33,761,210
4 AGREE SOMEWHAT 3,269 33,089,240
5 AGREE STRONGLY 1,080 9,135,513
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ADOVER42 SAQ: CAN OVERCOME ILLS WITHOUT MED HELP 2.0 NUM 816 817

-1 INAPPLICABLE 13,794 104,472,445
3 UNCERTAIN 2,699 27,222,330
4 AGREE SOMEWHAT 3,588 40,639,981
5 AGREE STRONGLY 974 8,384,783
TOTAL 35,427 321,423,251
ADCMPM42 SAQ: DATE COMPLETED - MONTH 2.0 NUM 818 819

-1 INAPPLICABLE 13,794 104,472,445
1 - 12 MONTH 20,727 208,897,267
TOTAL 35,427 321,423,251
ADCMPY42 SAQ: DATE COMPLETED - YEAR 4.0 NUM 820 823

-1 INAPPLICABLE 13,794 104,472,445
2015 - 2016 YEAR 20,760 209,255,218
TOTAL 35,427 321,423,251
ADLANG42 SAQ: LANGUAGE OF SAQ INTERVIEW 2.0 NUM 824 825
-1 INAPPLICABLE 13,794 104,472,445

1 ENGLISH VERSION SAQ WAS ADMINISTERED 18,516 203,122,831
2 SPANISH VERSION SAQ WAS ADMINISTERED 3,117 13,827,975
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DSDIA53 DCS: DIABETES DIAGNOSIS BY HEALTH PROF 2.0 NUM 826 827
-1 INAPPLICABLE 33,250 301,413,613

1 YES 2,177 20,009,638
TOTAL 35,427 321,423,251
DSA1C53 DCS: TIMES TESTED FOR A-ONE-C IN 2015 2.0 NUM 828 829

-8 DK 341 2,601,277
-1 INAPPLICABLE 33,250 301,413,613
0 NUMBER OF TIMES 73 445,102
1 - 94 NUMBER OF TIMES 1,450 14,223,085
95 95 TIMES OR MORE 14 158,134
96 DID NOT HAVE A1C BLOOD TEST 85 679,691
TOTAL 35,427 321,423,251
DSFT1653 DCS: HAD FEET CHECKED DURING 2016 2.0 NUM 830 831

-1 INAPPLICABLE 33,250 301,413,613
1 YES 610 6,144,748
2 NO 1,532 13,548,249
TOTAL 35,427 321,423,251

-1 INAPPLICABLE 33,250 301,413,613
1 YES 1,442 13,754,236
2 NO 700 5,938,761
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-1 INAPPLICABLE 33,250 301,413,613
1 YES 986 9,434,622
2 NO 1,156 10,258,375
TOTAL 35,427 321,423,251
DSFB1453 DCS: HAD FEET CHECKED BEFORE 2014 2.0 NUM 836 837

-1 INAPPLICABLE 33,250 301,413,613
1 YES 804 7,835,777
2 NO 1,338 11,857,220
TOTAL 35,427 321,423,251
DSFTNV53 DCS: NEVER HAD FEET CHECKED 2.0 NUM 838 839

-1 INAPPLICABLE 33,250 301,413,613
1 YES 402 3,462,249
2 NO 1,740 16,230,749
TOTAL 35,427 321,423,251
DSEY1653 DCS: DILATED EYE EXAM IN 2016 2.0 NUM 840 841

-1 INAPPLICABLE 33,250 301,413,613
1 YES 392 4,104,431
2 NO 1,754 15,645,152
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-1 INAPPLICABLE 33,250 301,413,613
1 YES 1,345 12,933,063
2 NO 801 6,816,520
TOTAL 35,427 321,423,251

-1 INAPPLICABLE 33,250 301,413,613
1 YES 974 9,883,670
2 NO 1,172 9,865,913
TOTAL 35,427 321,423,251
DSEB1453 DCS: DILATED EYE EXAM BEFORE 2014 2.0 NUM 846 847

-1 INAPPLICABLE 33,250 301,413,613
1 YES 854 8,893,506
2 NO 1,292 10,856,078
TOTAL 35,427 321,423,251
DSEYNV53 DCS: NEVER HAD DILATED EYE EXAM 2.0 NUM 848 849

-1 INAPPLICABLE 33,250 301,413,613
1 YES 257 1,914,567
2 NO 1,889 17,835,016
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DSCH1653 DCS: BLOOD CHOLESTEROL CHECKED IN 2016 2.0 NUM 850 851

-1 INAPPLICABLE 33,250 301,413,613
1 YES 710 7,195,323
2 NO 1,439 12,556,058
TOTAL 35,427 321,423,251

-1 INAPPLICABLE 33,250 301,413,613
1 YES 1,797 17,149,562
2 NO 352 2,601,819
TOTAL 35,427 321,423,251

-1 INAPPLICABLE 33,250 301,413,613
1 YES 1,274 12,660,862
2 NO 875 7,090,520
TOTAL 35,427 321,423,251
DSCB1453 DCS: BLOOD CHOLESTEROL CHECKED BEF 2014 2.0 NUM 856 857

-1 INAPPLICABLE 33,250 301,413,613
1 YES 1,073 10,989,147
2 NO 1,076 8,762,235
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DSCHNV53 DCS: NEVER HAD BLOOD CHOLESTEROL CHECKED 2.0 NUM 858 859

-1 INAPPLICABLE 33,250 301,413,613
1 YES 51 332,718
2 NO 2,098 19,418,663
TOTAL 35,427 321,423,251
DSFL1653 DCS: GOT FLU VACCINATION IN 2016 2.0 NUM 860 861

-1 INAPPLICABLE 33,250 301,413,613
1 YES 399 4,158,829
2 NO 1,741 15,548,417
TOTAL 35,427 321,423,251

-1 INAPPLICABLE 33,250 301,413,613
1 YES 1,334 12,681,881
2 NO 806 7,025,364
TOTAL 35,427 321,423,251

-1 INAPPLICABLE 33,250 301,413,613
1 YES 971 9,886,309
2 NO 1,169 9,820,937
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DSVB1453 DCS: GOT FLU VACCINATION BEFORE 2014 2.0 NUM 866 867

-1 INAPPLICABLE 33,250 301,413,613
1 YES 908 9,331,848
2 NO 1,232 10,375,398
TOTAL 35,427 321,423,251
DSFLNV53 DCS: NEVER GOT FLU VACCINATION 2.0 NUM 868 869

-1 INAPPLICABLE 33,250 301,413,613
1 YES 436 3,652,698
2 NO 1,704 16,054,548
TOTAL 35,427 321,423,251
DSKIDN53 DCS: HAS DIABETES CAUSED KIDNEY PROBLEMS 2.0 NUM 870 871

-1 INAPPLICABLE 33,250 301,413,613
1 YES 258 2,362,669
2 NO 1,881 17,321,755
TOTAL 35,427 321,423,251
DSEYPR53 DCS: HAS DIABETES CAUSED EYE PROBS 2.0 NUM 872 873

-1 INAPPLICABLE 33,250 301,413,613
1 YES 438 3,427,317
2 NO 1,705 16,237,345
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DSDIET53 DCS: TREAT DIABETES W/DIET MODIFICATION 2.0 NUM 874 875

-1 INAPPLICABLE 33,250 301,413,613
1 YES 1,651 15,388,301
2 NO 502 4,456,309
TOTAL 35,427 321,423,251
DSMED53 DCS: TREAT DIABETES W/MEDS BY MOUTH 2.0 NUM 876 877

-1 INAPPLICABLE 33,250 301,413,613
1 YES 1,742 16,068,947
2 NO 418 3,816,438
TOTAL 35,427 321,423,251
DSINSU53 DCS: TREAT DIABETES W/INSULIN INJECTIONS 2.0 NUM 878 879

-1 INAPPLICABLE 33,250 301,413,613
1 YES 637 5,877,562
2 NO 1,515 13,980,041
TOTAL 35,427 321,423,251
DSCPCP53 DCS: LEARNED CARE FROM PRIMARY CARE PROV 2.0 NUM 880 881

-1 INAPPLICABLE 33,697 305,984,881
1 YES 1,423 12,885,418
2 NO 166 1,453,592
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DSCNPC53 DCS: LEARNED CARE FROM OTHER PROVIDER 2.0 NUM 882 883

-1 INAPPLICABLE 33,697 305,984,881
1 YES 239 2,478,149
2 NO 1,350 11,860,861
TOTAL 35,427 321,423,251
DSCPHN53 DCS: LEARN CARE FROM PHONE CALL W/PROV 2.0 NUM 884 885

-1 INAPPLICABLE 33,697 305,984,881
1 YES 189 1,727,037
2 NO 1,400 12,611,973
TOTAL 35,427 321,423,251
DSCINT53 DCS: LEARNED CARE FROM READING INTERNET 2.0 NUM 886 887

-1 INAPPLICABLE 33,697 305,984,881
1 YES 486 4,959,242
2 NO 1,103 9,379,768
TOTAL 35,427 321,423,251
DSCGRP53 DCS: LEARNED CARE BY TAKING GROUP CLASS 2.0 NUM 888 889

-1 INAPPLICABLE 33,697 305,984,881
1 YES 206 1,785,722
2 NO 1,383 12,553,288
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DSCONF53 DCS: CONFIDENT TAKING CARE OF DIABETES 2.0 NUM 890 891

-8 DK 63 465,751
-7 REFUSED 6 42,390
-1 INAPPLICABLE 33,250 301,413,613
1 NOT CONFIDENT AT ALL 65 480,325
2 SOMEWHAT CONFIDENT 445 4,002,924
3 CONFIDENT 778 7,332,349
4 VERY CONFIDENT 746 7,162,468
TOTAL 35,427 321,423,251
DSPRX53 DCS: WAS RESPONDENT A PROXY 2.0 NUM 892 893

-1 INAPPLICABLE 33,250 301,413,613
1 YES 227 2,048,184
2 NO 1,949 17,959,108
TOTAL 35,427 321,423,251
DDNWRK15 # DAYS MISSED WORK DUE TO ILL/INJ 2015 2.0 NUM 894 895

-8 DK 6 26,528
-7 REFUSED 10 31,924
-1 INAPPLICABLE 16,294 135,337,391
0 7,987 79,579,839
1 - 60 6,767 70,689,795
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DDNSCL15 # DAYS MISSD SCHOOL DUE TO ILL/INJ 2015 2.0 NUM 896 897

-8 DK 1 17,216
-7 REFUSED 1 0
-1 INAPPLICABLE 25,382 242,517,205
0 3,932 28,469,275
1 - 14 4,521 39,481,273
TOTAL 35,427 321,423,251
OTHDYS15 MISS ANY WORK DAY TO CARE FOR OTH 2015 2.0 NUM 898 899

-8 DK 4 20,814
-7 REFUSED 10 31,924
-1 INAPPLICABLE 16,294 135,337,391
1 YES 3,685 39,559,756
2 NO 10,583 106,546,756
TOTAL 35,427 321,423,251
OTHNDD15 # DAY MISSED WORK TO CARE FOR OTH 2015 2.0 NUM 900 901

-8 DK 1 1,750
-1 INAPPLICABLE 31,742 281,863,495
1 - 15 3,212 34,591,261
TOTAL 35,427 321,423,251
ACCELI42 PERS ELIGIBLE FOR ACCESS SUPPLEMENT-R4/2 2.0 NUM 902 903

1 YES 34,809 317,438,928
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HAVEUS42 AC05 DOES PERSON HAVE USC PROVIDER-R4/2 2.0 NUM 904 905

-8 DK 606 4,103,945
-7 REFUSED 159 1,042,211
1 YES 26,512 250,521,035
2 NO 7,506 61,549,540
TOTAL 35,427 321,423,251
DATE: July 24, 2017
YNOUSC42 AC07 MAIN REAS PERS DOESNT HAVE USC-R4/2 2.0 NUM 906 907

-8 DK 49 299,617
-7 REFUSED 2 17,852
-1 INAPPLICABLE 27,921 259,873,711
1 SELDOM OR NEVER SICK 4,403 36,742,303
2 RECENTLY MOVED TO AREA 469 4,587,755
3 DON'T KNOW WHERE TO GO 195 1,421,473
4 USC IN AREA NOT AVAILABLE 149 1,457,113
5 CAN'T FIND PROVIDER WHO SPEAKS LANGUAGE 20 136,310
6 GOES DIFFERENT PLACES FOR DIFF NEEDS 256 2,029,279
7 JUST CHANGED INSURANCE PLANS 127 1,088,975
8 DON'T USE DOCS/TREAT SELF 213 2,105,264
9 COST OF MEDICAL CARE 288 1,968,769
10 NO HEALTH INSURANCE 970 6,048,946
11 JOB-RELATED REASONS 9 80,054
12 LOOKING FOR A NEW DOCTOR/NO DOCTOR YET 71 679,372
13 USC DOCTOR IS SOMEWHERE ELSE 15 156,623
14 DON'T LIKE/DON'T TRUST DOCTORS 18 124,236
15 HEALTH-RELATED REASONS 15 153,573
16 NEWBORN - NO DOCTOR YET 2 18,075
17 SELF, RELATIVE, OR FRIEND IS A DOCTOR 22 269,742
19 CARE AVAILABLE ON JOB 14 242,263
20 WILL NOT GO TO THE DOCTOR 26 244,057
21 PROBLEMS WITH TIME AND TRANSPORTATION 36 364,459
22 GOES TO HOSPITAL/EMERGENCY ROOM/CLINIC 16 233,386
23 USES ALTERNATIVE CARE 2 15,821
24 INSURANCE-RELATED REASONS 20 148,437
91 OTHER REASON 81 733,934
TOTAL 35,427 321,423,251
NOREAS42 AC08 OTH REAS NO USC:NO OTH REASONS-R4/2 2.0 NUM 908 909
-1 INAPPLICABLE 27,990 260,373,032

1 YES 5,073 41,405,773
2 NO 2,364 19,644,445
TOTAL 35,427 321,423,251
DATE: July 24, 2017
SELDSI42 AC08 OTH REAS NO USC:SELDM/NEV SICK-R4/2 2.0 NUM 910 911
-1 INAPPLICABLE 27,990 260,373,032

1 YES 774 6,567,976
2 NO 6,663 54,482,242
TOTAL 35,427 321,423,251
NEWARE42 AC08 OTH REAS NO USC:RECENTLY MOVED-R4/2 2.0 NUM 912 913
-1 INAPPLICABLE 27,990 260,373,032

1 YES 125 1,384,980
2 NO 7,312 59,665,238
TOTAL 35,427 321,423,251
DKWHRU42 AC08 OTH REAS NO USC:DK WHERE TO GO-R4/2 2.0 NUM 914 915
-1 INAPPLICABLE 27,990 260,373,032

1 YES 119 1,065,055
2 NO 7,318 59,985,164
TOTAL 35,427 321,423,251
USCNOT42 AC08 OTH REAS NO USC: USC NOT AVAIL-R4/2 2.0 NUM 916 917
-1 INAPPLICABLE 27,990 260,373,032

1 YES 50 528,932
2 NO 7,387 60,521,286
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PERSLA42 AC08 OTH REAS NO USC: LANGUAGE-R4/2 2.0 NUM 918 919
-1 INAPPLICABLE 27,990 260,373,032

1 YES 15 100,835
2 NO 7,422 60,949,384
TOTAL 35,427 321,423,251
DIFFPL42 AC08 OTH REAS NO USC:DIFFRNT PLACES-R4/2 2.0 NUM 920 921
-1 INAPPLICABLE 27,990 260,373,032

1 YES 59 555,841
2 NO 7,378 60,494,377
TOTAL 35,427 321,423,251
INSRPL42 AC08 OTH REAS NO USC:JUST CHNGD INS-R4/2 2.0 NUM 922 923
-1 INAPPLICABLE 27,990 260,373,032

1 YES 71 695,985
2 NO 7,366 60,354,234
TOTAL 35,427 321,423,251
MYSELF42 AC08 OTH REAS NO USC:NO DOC/TRT SLF-R4/2 2.0 NUM 924 925
-1 INAPPLICABLE 27,990 260,373,032

1 YES 215 2,245,525
2 NO 7,222 58,804,694
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CARECO42 AC08 OTH REAS NO USC:COST OF MED CR-R4/2 2.0 NUM 926 927
-1 INAPPLICABLE 27,990 260,373,032

1 YES 538 3,462,574
2 NO 6,899 57,587,645
TOTAL 35,427 321,423,251
NOHINS42 AC08 OTH REAS NO USC:NO HLTH INSRNC-R4/2 2.0 NUM 928 929
-1 INAPPLICABLE 27,990 260,373,032

1 YES 665 4,275,954
2 NO 6,772 56,774,265
TOTAL 35,427 321,423,251
OTHINS42 AC08 OTH REAS NO USC: INS RELATED-R4/2 2.0 NUM 930 931
-1 INAPPLICABLE 27,990 260,373,032

1 YES 9 127,281
2 NO 7,428 60,922,938
TOTAL 35,427 321,423,251
JOBRSN42 AC08 OTH REAS NO USC: JOB RELATED-R4/2 2.0 NUM 932 933
-1 INAPPLICABLE 27,990 260,373,032

1 YES 8 111,720
2 NO 7,429 60,938,499
TOTAL 35,427 321,423,251
DATE: July 24, 2017
NEWDOC42 AC08 OTH REAS NO USC: LOOKNG FOR DR-R4/2 2.0 NUM 934 935
-1 INAPPLICABLE 27,990 260,373,032

1 YES 21 299,461
2 NO 7,416 60,750,758
TOTAL 35,427 321,423,251
DOCELS42 AC08 OTH REAS NO USC: DR ELSEWHERE-R4/2 2.0 NUM 936 937
-1 INAPPLICABLE 27,990 260,373,032

1 YES 6 94,882
2 NO 7,431 60,955,337
TOTAL 35,427 321,423,251
NOLIKE42 AC08 OTH REAS NO USC: DONT LIKE DRS-R4/2 2.0 NUM 938 939
-1 INAPPLICABLE 27,990 260,373,032

1 YES 21 196,959
2 NO 7,416 60,853,260
TOTAL 35,427 321,423,251
HEALTH42 AC08 OTH REAS NO USC: HLTH RELATED-R4/2 2.0 NUM 940 941
-1 INAPPLICABLE 27,990 260,373,032

1 YES 4 40,858
2 NO 7,433 61,009,360
TOTAL 35,427 321,423,251
DATE: July 24, 2017
KNOWDR42 AC08 OTH REAS NO USC: KNOWS/IS A DR-R4/2 2.0 NUM 942 943
-1 INAPPLICABLE 27,990 260,373,032

1 YES 11 127,336
2 NO 7,426 60,922,882
TOTAL 35,427 321,423,251
ONJOB42 AC08 OTH REAS NO USC: DR AT WORK-R4/2 2.0 NUM 944 945
-1 INAPPLICABLE 27,990 260,373,032

1 YES 4 57,894
2 NO 7,433 60,992,325
TOTAL 35,427 321,423,251
NOGODR42 AC08 OTH REAS NO USC: WONT GO TO DR-R4/2 2.0 NUM 946 947
-1 INAPPLICABLE 27,990 260,373,032

1 YES 13 125,815
2 NO 7,424 60,924,403
TOTAL 35,427 321,423,251
TRANS42 AC08 OTH REAS NO USC: TRANSPRT/TIME-R4/2 2.0 NUM 948 949
-1 INAPPLICABLE 27,990 260,373,032

1 YES 16 122,327
2 NO 7,421 60,927,892
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CLINIC42 AC08 OTH REAS NO USC: HOSP/ER/CLNIC-R4/2 2.0 NUM 950 951
-1 INAPPLICABLE 27,990 260,373,032

1 YES 8 67,179
2 NO 7,429 60,983,040
TOTAL 35,427 321,423,251
OTHREA42 AC08 OTH REAS NO USC: OTHER REASON-R4/2 2.0 NUM 952 953
-1 INAPPLICABLE 27,990 260,373,032

1 YES 36 401,498
2 NO 7,401 60,648,721
TOTAL 35,427 321,423,251
PROVTY42 PROVIDER TYPE-R4/2 2.0 NUM 954 955
-1 INAPPLICABLE 8,915 70,902,216

1 FACILITY 15,794 139,979,484
2 PERSON 4,847 44,989,667
3 PERSON IN FACILITY PROVIDER 5,871 65,551,884
TOTAL 35,427 321,423,251
PLCTYP42 USC TYPE OF PLACE-R4/2 2.0 NUM 956 957
-8 DK 50 460,431
-1 INAPPLICABLE 13,762 115,891,883
1 HOSPITAL CLINIC/OUTPATIENT DEPT 8,686 69,751,139
2 HOSPITAL EMERGENCY ROOM 176 1,144,532
3 NON-HOSPITAL PLACE 12,753 134,175,266
TOTAL 35,427 321,423,251
DATE: July 24, 2017
TMTKUS42 AC13 HOW LONG IT TAKES GET TO USC-R4/2 2.0 NUM 958 959
-8 DK 40 307,754
-7 REFUSED 15 229,861
-1 INAPPLICABLE 8,915 70,902,216
1 LESS THAN 15 MINUTES 13,398 126,520,700
2 15 TO 30 MINUTES 10,531 100,522,888
3 31 TO 60 MINUTES (1 HOUR) 2,189 19,737,197
4 61 TO 90 MINUTES 197 1,765,072
5 91 MINUTES TO 120 MINUTES (2 HOURS) 93 779,877
6 MORE THAN 120 MINUTES (2 HOURS) 49 657,685
TOTAL 35,427 321,423,251
DATE: July 24, 2017
TYPEPE42 USC TYPE OF PROVIDER-R4/2 2.0 NUM 960 961
-1 INAPPLICABLE 24,709 210,881,700

1 MD - GENERAL/FAMILY PRACTICE 6,271 66,286,343
2 MD - INTERNAL MEDICINE 1,336 15,697,281
3 MD - PEDIATRICS 2,205 18,159,944
4 MD - OB/GYN 113 1,123,755
5 MD - SURGERY 6 34,966
6 MD - OTHER 119 1,080,607
7 CHIROPRACTOR 7 78,904
8 NURSE 2 30,454
9 NURSE PRACTITIONER 238 2,846,799
10 PHYSICIAN'S ASSISTANT 99 1,218,611
11 OTHER NON-MD PROVIDER 7 60,615
12 UNKNOWN 7 113,068
13 MD - CARDIOLOGIST 53 551,158
14 DOCTOR OF OSTEOPATHY 133 1,877,160
15 MD - ENDOCRINOLOGIST 18 153,308
16 MD - GASTROENTEROLOGIST 10 208,470
17 MD - GERIATRICIAN 30 384,842
18 MD - NEPHROLOGIST 11 93,908
19 MD - ONCOLOGIST 8 100,603
20 MD - PULMONOLOGIST 11 120,448
21 MD - RHEUMATOLOGIST 7 74,338
22 PSYCHIATRIST/PSYCHOLOGIST 10 79,235
23 MD - NEUROLOGIST 12 92,576
24 ALTERNATIVE CARE PROVIDER 5 74,159
TOTAL 35,427 321,423,251
LOCATN42 USC LOCATION-R4/2 2.0 NUM 962 963
-8 DK 50 460,431
-1 INAPPLICABLE 8,915 70,902,216
1 OFFICE 17,600 179,164,933
2 HOSPITAL, NOT ER 8,686 69,751,139
3 HOSPITAL, ER 176 1,144,532
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HSPLAP42 AC18 IS PROVIDER HISPANIC OR LATINO-R4/2 2.0 NUM 964 965

-8 DK 298 3,159,354
-7 REFUSED 8 156,290
-1 INAPPLICABLE 24,709 210,881,700
1 YES 1,312 8,028,908
2 NO 9,089 99,130,304
TOTAL 35,427 321,423,251
WHITPR42 AC19 IS PROVIDER WHITE-R4/2 2.0 NUM 966 967

-8 DK 383 3,709,653
-7 REFUSED 15 268,185
-1 INAPPLICABLE 24,709 210,881,700
1 YES 6,825 78,538,787
2 NO 3,476 27,914,798
TOTAL 35,427 321,423,251
BLCKPR42 AC19 IS PROVIDER BLACK/AFRICAN AMER-R4/2 2.0 NUM 968 969

-8 DK 383 3,709,653
-7 REFUSED 15 268,185
-1 INAPPLICABLE 24,709 210,881,700
1 YES 627 4,333,566
2 NO 9,674 102,120,019
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ASIANP42 AC19 IS PROVIDER ASIAN-R4/2 2.0 NUM 970 971

-8 DK 383 3,709,653
-7 REFUSED 15 268,185
-1 INAPPLICABLE 24,709 210,881,700
1 YES 1,753 14,456,208
2 NO 8,548 91,997,377
TOTAL 35,427 321,423,251
NATAMP42 AC19 IS PROVIDER NATIVE AMERICAN-R4/2 2.0 NUM 972 973

-8 DK 383 3,709,653
-7 REFUSED 15 268,185
-1 INAPPLICABLE 24,709 210,881,700
1 YES 294 2,636,800
2 NO 10,007 103,816,785
TOTAL 35,427 321,423,251
PACISP42 AC19 IS PROVIDER OTH PACIFIC ISLNDR-R4/2 2.0 NUM 974 975

-8 DK 383 3,709,653
-7 REFUSED 15 268,185
-1 INAPPLICABLE 24,709 210,881,700
1 YES 103 859,398
2 NO 10,198 105,594,187
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OTHRCP42 AC19 IS PROVIDER SOME OTHER RACE-R4/2 2.0 NUM 976 977

-8 DK 383 3,709,653
-7 REFUSED 15 268,185
-1 INAPPLICABLE 24,709 210,881,700
1 YES 756 6,210,338
2 NO 9,545 100,243,247
TOTAL 35,427 321,423,251
GENDRP42 AC20 IS PROVIDER MALE OR FEMALE-R4/2 2.0 NUM 978 979
-8 DK 13 103,465
-7 REFUSED 3 48,792
-1 INAPPLICABLE 24,709 210,881,700
1 MALE 6,767 69,918,444
2 FEMALE 3,935 40,470,851
TOTAL 35,427 321,423,251
MINORP42 AC22 GO TO USC FOR NEW HEALTH PROB-R4/2 2.0 NUM 980 981
-8 DK 39 249,106
-7 REFUSED 5 43,239
-1 INAPPLICABLE 8,915 70,902,216
1 YES 25,964 245,872,070
2 NO 504 4,356,620
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PREVEN42 AC22 GO TO USC FOR PRVNTVE HLT CARE-R4/2 2.0 NUM 982 983
-8 DK 38 280,311
-7 REFUSED 5 43,239
-1 INAPPLICABLE 8,915 70,902,216
1 YES 25,886 244,253,825
2 NO 583 5,943,659
TOTAL 35,427 321,423,251
REFFRL42 AC22 GO TO USC FOR REFERRALS-R4/2 2.0 NUM 984 985
-8 DK 54 589,919
-7 REFUSED 5 43,239
-1 INAPPLICABLE 8,915 70,902,216
1 YES 25,753 242,793,925
2 NO 700 7,093,953
TOTAL 35,427 321,423,251
ONGONG42 AC22 GO TO USC FOR ONGOING HLTH PRB-R4/2 2.0 NUM 986 987
-8 DK 50 445,590
-7 REFUSED 5 43,239
-1 INAPPLICABLE 8,915 70,902,216
1 YES 25,774 242,565,366
2 NO 683 7,466,839
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PHNREG42 AC23 HOW DIFF CONTACT USC BY PHONE-R4/2 2.0 NUM 988 989
-8 DK 1,042 10,521,428
-7 REFUSED 39 445,158
-1 INAPPLICABLE 8,915 70,902,216
1 VERY DIFFICULT 1,184 10,360,789
2 SOMEWHAT DIFFICULT 2,810 25,434,431
3 NOT TOO DIFFICULT 7,223 67,842,343
4 NOT AT ALL DIFFICULT 14,214 135,916,887
TOTAL 35,427 321,423,251
OFFHOU42 AC24 USC HAS OFFCE HRS NGHTS/WKENDS-R4/2 2.0 NUM 990 991
-8 DK 2,479 25,309,853
-7 REFUSED 49 693,729
-1 INAPPLICABLE 9,091 72,046,748
1 YES 9,901 93,546,254
2 NO 13,907 129,826,667
TOTAL 35,427 321,423,251
AFTHOU42 AC25 HOW DIFF CONTACT USC AFT HOURS-R4/2 2.0 NUM 992 993
-8 DK 8,179 87,168,018
-7 REFUSED 63 763,646
-1 INAPPLICABLE 8,915 70,902,216
1 VERY DIFFICULT 4,729 36,377,750
2 SOMEWHAT DIFFICULT 3,122 27,498,485
3 NOT TOO DIFFICULT 4,894 46,962,448
4 NOT AT ALL DIFFICULT 5,525 51,750,687
TOTAL 35,427 321,423,251
DATE: July 24, 2017
TREATM42 AC26 PROV ASK ABOUT OTH TREATMENTS-R4/2 2.0 NUM 994 995
-8 DK 1,061 11,034,345
-7 REFUSED 54 621,402
-1 INAPPLICABLE 8,915 70,902,216
1 YES 20,263 193,412,144
2 NO 5,134 45,453,145
TOTAL 35,427 321,423,251
RESPCT42 AC27 PROV SHOWS RESPECT FOR TRTMNTS-R4/2 2.0 NUM 996 997
-8 DK 2,711 28,691,715
-7 REFUSED 61 666,863
-1 INAPPLICABLE 8,915 70,902,216
1 NEVER 624 4,618,025
2 SOMETIMES 1,179 10,769,276
3 USUALLY 4,533 43,331,721
4 ALWAYS 17,404 162,443,434
TOTAL 35,427 321,423,251
DECIDE42 AC28 PROV ASKS PERS TO HELP DECIDE-R4/2 2.0 NUM 998 999
-8 DK 1,835 18,488,451
-7 REFUSED 56 653,887
-1 INAPPLICABLE 8,915 70,902,216
1 NEVER 1,912 14,188,949
2 SOMETIMES 2,374 21,086,620
3 USUALLY 5,175 49,592,988
4 ALWAYS 15,160 146,510,140
TOTAL 35,427 321,423,251
DATE: July 24, 2017
EXPLOP42 AC30 PROV EXPLNS OPTIONS TO PERS-R4/2 2.0 NUM 1000 1001
-8 DK 701 7,250,699
-7 REFUSED 56 652,955
-1 INAPPLICABLE 8,915 70,902,216
1 YES 24,426 231,113,560
2 NO 1,329 11,503,822
TOTAL 35,427 321,423,251
PRVSPK42 AC31 PROV SPEAKS PERSON'S LANGUAGE-R4/2 2.0 NUM 1002 1003

-8 DK 27 128,570
-7 REFUSED 4 77,239
-1 INAPPLICABLE 33,444 312,521,165
1 YES 1,796 7,754,919
2 NO 152 920,201
TOTAL 35,427 321,423,251
MDUNAB42 UNABLE TO GET NECESSRY MEDICAL CARE-R4/2 2.0 NUM 1004 1005

-8 DK 45 363,894
-7 REFUSED 37 272,621
1 YES 689 6,022,771
2 NO 34,037 310,774,471
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MDUNRS42 AC34 RSN UNABLE GET NECSRY MED CARE-R4/2 2.0 NUM 1006 1007
-1 INAPPLICABLE 34,738 315,400,480

1 COULD NOT AFFORD CARE 357 3,075,179
2 INS CO WOULD NOT APPROVE/COVER/PAY 113 1,026,479
3 DOCTOR REFUSED FAMILY INS PLAN 13 78,598
4 PROBLEMS GETTING TO DOCTOR'S OFFICE 29 210,814
5 DIFFERENT LANGUAGE 2 9,666
6 COULD NOT GET TIME OFF WORK 12 148,703
7 DK WHERE TO GO TO GET CARE 19 131,996
8 WAS REFUSED SERVICES 22 208,780
10 DID NOT HAVE TIME OR TOOK TOO LONG 23 181,264
91 OTHER 99 951,292
TOTAL 35,427 321,423,251
MDDLAY42 DELAYED IN GETTING NECSRY MED CARE-R4/2 2.0 NUM 1008 1009

-8 DK 52 396,028
-7 REFUSED 40 321,413
1 YES 1,063 11,032,675
2 NO 33,652 305,665,092
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MDDLRS42 AC38 RSN DLAYD GETTING NEC MED CARE-R4/2 2.0 NUM 1010 1011
-8 DK 1 8,510
-1 INAPPLICABLE 34,364 310,390,575
9 COULD NOT GET CHILD CARE 3 67,532
91 OTHER 350 3,980,112
TOTAL 35,427 321,423,251
DNUNAB42 UNABLE TO GET NECESSARY DENTAL CARE-R4/2 2.0 NUM 1012 1013

-8 DK 72 587,243
-7 REFUSED 36 277,692
1 YES 1,300 11,661,549
2 NO 33,400 304,907,274
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DNUNRS42 AC42 RSN UNABLE GET NCSRY DENT CARE-R4/2 2.0 NUM 1014 1015
-8 DK 1 25,182
-1 INAPPLICABLE 34,127 309,761,702
91 OTHER 83 671,388
TOTAL 35,427 321,423,251
DNDLAY42 DELAYED IN GETTING NEC DENTAL CARE-R4/2 2.0 NUM 1016 1017

-8 DK 69 545,448
-7 REFUSED 39 326,483
1 YES 1,211 11,648,747
2 NO 33,489 304,913,079
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DNDLRS42 AC46 RSN DLAYD GETTNG NEC DENT CARE-R4/2 2.0 NUM 1018 1019
-8 DK 1 4,417
-1 INAPPLICABLE 34,216 309,774,504
2 INS CO WOULD NOT APPROVE/COVER/PAY 119 969,554
10 DID NOT HAVE TIME OR TOOK TOO LONG 113 1,008,723
91 OTHER 195 1,972,683
TOTAL 35,427 321,423,251
PMUNAB42 UNABLE TO GET NECESSARY PRES MED-R4/2 2.0 NUM 1020 1021

-8 DK 29 263,835
-7 REFUSED 41 301,663
1 YES 573 5,400,767
2 NO 34,165 311,467,493
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PMUNRS42 AC50 RSN UNABLE TO GET NEC PRES MED-R4/2 2.0 NUM 1022 1023
-1 INAPPLICABLE 34,854 316,022,484

91 OTHER 80 872,870
TOTAL 35,427 321,423,251
PMDLAY42 DELAYED IN GETTING NECSRY PRES MED-R4/2 2.0 NUM 1024 1025

-8 DK 32 287,967
-7 REFUSED 41 301,663
1 YES 812 8,592,305
2 NO 33,921 308,226,030
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PMDLRS42 AC54 RSN DLAYD GETTING NEC PRES MED-R4/2 2.0 NUM 1026 1027

-8 DK 1 29,242
-1 INAPPLICABLE 34,615 312,830,946
91 OTHER 271 3,142,362
TOTAL 35,427 321,423,251
RNDFLG31 DATA COLLECTION ROUND FOR RD 3/1 CMJ 2.0 NUM 1028 1029
-1 INAPPLICABLE 20,168 165,334,606

1 ROUND 1 13,356 139,012,518
2 ROUND 2 777 7,019,894
3 ROUND 3 1,126 10,056,233
TOTAL 35,427 321,423,251
MORJOB31 HAS MORE THAN ONE JOB RD 3/1 INT DATE 2.0 NUM 1030 1031

-8 DK 4 26,455
-7 REFUSED 4 35,524
-1 INAPPLICABLE 19,962 163,981,882
1 MORE THAN ONE CURRENT JOB 1,255 14,591,011
2 NOT MORE THAN ONE CURRENT JOB 13,988 141,405,349
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-8 DK 10 52,891
-7 REFUSED 12 190,621
-1 INAPPLICABLE 19,651 163,191,169
TOTAL 35,427 321,423,251

-8 DK 12 57,793
-7 REFUSED 4 25,721
-1 INAPPLICABLE 19,506 162,994,446
TOTAL 35,427 321,423,251
EVRWRK EVER WRKD FOR PAY IN LIFE AS OF 12/31/15 2.0 NUM 1036 1037

-8 DK 79 527,192
-7 REFUSED 105 808,438
-1 INAPPLICABLE 26,626 244,420,546
1 YES 4,804 48,514,397
2 NO 3,771 27,096,930
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HRWG31X HOURLY WAGE RD 3/1 CMJ (IMP) 6.2 NUM 1038 1043
-10 HOURLY WAGE >= $80.00 162 2,195,356

-1 INAPPLICABLE 21,531 182,248,861
.28 - 79.55 HOURLY WAGE 13,528 135,626,309
TOTAL 35,427 321,423,251
-10 HOURLY WAGE >= $80.00 30 380,920

-2 DETERMINED IN PREVIOUS ROUND 13,114 135,123,312
-1 INAPPLICABLE 19,825 164,944,274
1.00 - 78.37 HOURLY WAGE 2,327 20,416,953
TOTAL 35,427 321,423,251
-10 HOURLY WAGE >= $80.00 19 237,755

-1 INAPPLICABLE 19,653 164,332,891
1.13 - 79.79 HOURLY WAGE 1,995 16,875,208
TOTAL 35,427 321,423,251
HRWGIM31 HRWG31X IMPUTATION FLAG 1.0 NUM 1056 1056
0 NO 32,819 295,412,095
1 YES 2,608 26,011,156
TOTAL 35,427 321,423,251
DATE: July 24, 2017
0 NO 35,019 318,080,577
1 YES 408 3,342,674
TOTAL 35,427 321,423,251
0 NO 35,102 318,996,841
1 YES 325 2,426,410
TOTAL 35,427 321,423,251
HRHOW31 HOW HOURLY WAGE WAS CALCULATED RD 3/1 2.0 NUM 1059 1060
-9 UNKNOWN (NOT IMPUTED) 206 1,352,724

-1 INAPPLICABLE 21,531 182,248,861
1 IMPUTED USING RANGE ESTIMATE 1,435 14,960,175
2 IMPUTED WITHOUT RANGE ESTIMATE 1,173 11,050,981
3 NO CALCULATION: HOURLY WAGE PROVIDED 7,685 70,790,573
4 CALCULATED FROM SALARY 3,001 37,185,342
5 CALCULATED FROM PAID BY DAY 95 949,373
6 CALCULATED FROM PIECEWORK/JOB/MILE 212 1,775,848
7 CALCULATED FROM COMMISSIONS 88 1,103,568
8 CALCULATED FROM BONUS 1 5,806
TOTAL 35,427 321,423,251
DATE: July 24, 2017
-9 UNKNOWN (NOT IMPUTED) 131 557,793

-1 INAPPLICABLE 19,825 164,944,274
1 IMPUTED USING RANGE ESTIMATE 189 1,560,099
2 IMPUTED WITHOUT RANGE ESTIMATE 219 1,782,574
4 CALCULATED FROM SALARY 283 3,217,542
6 CALCULATED FROM PIECEWORK/JOB/MILE 51 395,975
7 CALCULATED FROM COMMISSIONS 18 116,707
8 CALCULATED FROM BONUS 1 9,676
TOTAL 35,427 321,423,251
-9 UNKNOWN (NOT IMPUTED) 121 632,694

-1 INAPPLICABLE 19,653 164,332,891
1 IMPUTED USING RANGE ESTIMATE 149 1,161,702
2 IMPUTED WITHOUT RANGE ESTIMATE 176 1,264,708
4 CALCULATED FROM SALARY 212 2,303,680
6 CALCULATED FROM PIECEWORK/JOB/MILE 45 416,497
7 CALCULATED FROM COMMISSIONS 12 103,894
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DIFFWG31 PERSONS WAGES DIFFERENT THIS RD31 AT CMJ 2.0 NUM 1065 1066

-8 DK 97 688,442
-7 REFUSED 11 154,638
-1 INAPPLICABLE 29,911 267,333,823
1 YES (WAGE AMOUNT CHANGED) 1,261 12,988,175
2 NO (WAGE AMOUNT DID NOT CHANGE) 4,072 39,960,655
TOTAL 35,427 321,423,251

-8 DK 244 2,245,976
-7 REFUSED 25 319,863
-1 INAPPLICABLE 23,620 202,629,747
TOTAL 35,427 321,423,251

-8 DK 266 2,110,077
-7 REFUSED 30 343,512
-1 INAPPLICABLE 23,141 198,574,241
TOTAL 35,427 321,423,251
DATE: July 24, 2017
NHRWG31 UPDATED HRLY WAGE RD 3/1 CMJ (EDITED) 6.2 NUM 1071 1076
-13 INITIAL WAGE IMPUTED 109 1,144,276

-10 UPDATED HOURLY WAGE >=$80.00 7 89,825
-1 INAPPLICABLE 33,983 307,294,478
1.00 - 76.92 UPDATED HOURLY WAGE 1,120 11,459,999
TOTAL 35,427 321,423,251

-1 INAPPLICABLE 32,818 294,347,421
1.42 - 75.00 UPDATED HOURLY WAGE 1,942 21,050,838
TOTAL 35,427 321,423,251

-1 INAPPLICABLE 32,542 293,181,744
.57 - 79.33 UPDATED HOURLY WAGE 2,191 22,391,695
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HOUR31 HOURS PER WEEK AT RD 3/1 CMJ 3.0 NUM 1089 1091

-8 DK 63 460,879
-7 REFUSED 28 241,622
-1 INAPPLICABLE 19,962 163,981,882
0 - 168 HOURS PER WEEK 15,035 154,172,240
TOTAL 35,427 321,423,251

-8 DK 38 269,929
-7 REFUSED 11 146,046
-1 INAPPLICABLE 19,651 163,191,169
0 - 168 HOURS PER WEEK 2,445 21,824,399
TOTAL 35,427 321,423,251

-8 DK 23 95,100
-7 REFUSED 4 75,884
-1 INAPPLICABLE 19,506 162,994,446
0 - 168 HOURS PER WEEK 2,103 18,061,498
TOTAL 35,427 321,423,251
DATE: July 24, 2017
TEMPJB31 IS CMJ A TEMPORARY JOB RD 3/1 2.0 NUM 1098 1099

-8 DK 69 331,117
-7 REFUSED 27 234,383
-1 INAPPLICABLE 19,962 163,981,882
1 CMJ IS TEMPORARY 1,261 11,031,079
2 CMJ IS NOT TEMPORARY 13,889 144,403,692
TOTAL 35,427 321,423,251

-8 DK 39 235,596
-7 REFUSED 11 136,008
-1 INAPPLICABLE 19,651 163,191,169
1 CMJ IS TEMPORARY 457 3,778,258
TOTAL 35,427 321,423,251

-8 DK 28 151,128
-7 REFUSED 4 64,679
-1 INAPPLICABLE 19,506 162,994,446
1 CMJ IS TEMPORARY 318 2,550,391
TOTAL 35,427 321,423,251
DATE: July 24, 2017
SSNLJB31 IS CMJ A SEASONAL JOB RD 3/1 2.0 NUM 1104 1105

-8 DK 57 260,930
-7 REFUSED 23 207,553
-1 INAPPLICABLE 19,962 163,981,882
1 CMJ IS SEASONAL, NOT YEAR ROUND 909 8,234,042
2 CMJ IS NOT SEASONAL, YEAR ROUND 14,258 147,304,049
TOTAL 35,427 321,423,251

-8 DK 32 157,115
-7 REFUSED 11 136,008
-1 INAPPLICABLE 19,651 163,191,169
TOTAL 35,427 321,423,251

-8 DK 27 180,994
-7 REFUSED 3 58,620
-1 INAPPLICABLE 19,506 162,994,446
TOTAL 35,427 321,423,251
DATE: July 24, 2017
SELFCM31 SELF-EMPLOYED AT RD 3/1 CMJ 2.0 NUM 1110 1111

-8 DK 10 73,443
-7 REFUSED 12 83,268
-1 INAPPLICABLE 19,962 163,981,882
1 YES 1,569 18,266,979
2 NO 13,668 137,664,955
TOTAL 35,427 321,423,251

-8 DK 7 28,300
-7 REFUSED 3 58,085
-1 INAPPLICABLE 19,651 163,191,169
1 YES 174 1,753,105
2 NO 2,347 20,711,488
TOTAL 35,427 321,423,251

-7 REFUSED 1 6,400
-1 INAPPLICABLE 19,506 162,994,446
1 YES 147 1,338,445
2 NO 2,013 17,106,563
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DISVW31X DISAVOWED HEALTH INS AT RD 3/1 CMJ (ED) 2.0 NUM 1116 1117

-1 INAPPLICABLE 28,110 240,692,161
1 DISAVOWS INSURANCE THROUGH CMJ 258 2,593,381
2 DOES NOT DISAVOW INSURANCE THROUGH CMJ 6,802 76,280,723
TOTAL 35,427 321,423,251

-1 INAPPLICABLE 28,046 241,026,609
TOTAL 35,427 321,423,251

-1 INAPPLICABLE 27,821 239,303,044
TOTAL 35,427 321,423,251
CHOIC31 CHOICE OF HEALTH PLANS AT RD 3/1 CMJ 2.0 NUM 1122 1123

-8 DK 683 6,637,488
-7 REFUSED 7 48,005
-1 INAPPLICABLE 26,542 223,954,076
1 YES 4,729 54,328,889
2 NO 3,228 34,906,624
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-8 DK 124 1,091,799
-7 REFUSED 2 42,615
-1 INAPPLICABLE 21,336 177,921,789
1 YES 429 4,417,824
2 NO 286 2,236,436
TOTAL 35,427 321,423,251

-8 DK 118 876,871
-1 INAPPLICABLE 20,909 174,760,415
1 YES 373 3,453,700
2 NO 266 2,341,231
TOTAL 35,427 321,423,251
DATE: July 24, 2017
INDCAT31 INDUSTRY GROUP RD 3/1 CMJ 2.0 NUM 1128 1129

-1 INAPPLICABLE 19,962 163,981,882
1 NATURAL RESOURCES 244 2,326,500
2 MINING 64 845,090
3 CONSTRUCTION 1,004 9,418,778
4 MANUFACTURING 1,644 16,656,646
5 WHOLESALE AND RETAIL TRADE 1,981 20,129,067
6 TRANSPORTATION AND UTILITIES 755 7,637,715
7 INFORMATION 301 3,587,377
8 FINANCIAL ACTIVITIES 868 10,097,901
9 PROFESSIONAL AND BUSINESS SERVICES 1,831 19,209,308
10 EDUCATION, HEALTH, AND SOCIAL SERVICES 3,333 35,938,839
11 LEISURE AND HOSPITALITY 1,640 14,223,340
12 OTHER SERVICES 768 7,216,716
13 PUBLIC ADMINISTRATION 702 7,818,663
14 MILITARY 45 273,845
15 UNCLASSIFIABLE INDUSTRY 79 708,859
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-1 INAPPLICABLE 19,651 163,191,169
1 NATURAL RESOURCES 55 381,393
2 MINING 11 121,381
3 CONSTRUCTION 166 1,323,155
4 MANUFACTURING 199 1,744,592
5 WHOLESALE AND RETAIL TRADE 395 3,542,121
7 INFORMATION 30 313,581
9 PROFESSIONAL AND BUSINESS SERVICES 358 3,314,378
10 EDUCATION, HEALTH, AND SOCIAL SERVICES 495 4,672,291
11 LEISURE AND HOSPITALITY 406 3,552,348
12 OTHER SERVICES 100 730,380
13 PUBLIC ADMINISTRATION 56 470,990
14 MILITARY 9 167,262
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-1 INAPPLICABLE 19,506 162,994,446
1 NATURAL RESOURCES 41 235,986
2 MINING 8 128,073
3 CONSTRUCTION 121 999,751
4 MANUFACTURING 174 1,397,422
5 WHOLESALE AND RETAIL TRADE 365 3,085,540
6 TRANSPORTATION AND UTILITIES 107 688,869
7 INFORMATION 43 422,415
8 FINANCIAL ACTIVITIES 93 884,133
9 PROFESSIONAL AND BUSINESS SERVICES 271 2,350,593
10 EDUCATION, HEALTH, AND SOCIAL SERVICES 428 3,978,363
11 LEISURE AND HOSPITALITY 335 2,871,505
12 OTHER SERVICES 92 758,736
13 PUBLIC ADMINISTRATION 58 498,632
14 MILITARY 6 53,995
TOTAL 35,427 321,423,251
NUMEMP31 NUMBER OF EMPLOYEES AT RD 3/1 CMJ 3.0 NUM 1134 1136

-8 DK 1,323 10,656,906
-7 REFUSED 58 583,194
-1 INAPPLICABLE 19,962 163,981,882
0 - 500 NUMBER OF EMPLOYEES 13,824 144,312,025
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-8 DK 322 2,136,327
-7 REFUSED 15 182,120
-1 INAPPLICABLE 19,651 163,191,169
TOTAL 35,427 321,423,251

-8 DK 282 1,850,795
-7 REFUSED 5 55,784
-1 INAPPLICABLE 19,506 162,994,446
TOTAL 35,427 321,423,251
MORE31 RD 3/1 CMJ FIRM HAS MORE THAN 1 LOCAT 2.0 NUM 1143 1144

-8 DK 508 3,467,331
-7 REFUSED 31 301,162
-1 INAPPLICABLE 21,531 182,248,861
1 YES 9,094 94,975,427
2 NO 4,033 38,902,080
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-8 DK 164 1,054,401
-7 REFUSED 10 132,361
-1 INAPPLICABLE 19,825 164,944,274
1 YES 1,515 13,501,078
2 NO 660 6,017,226
TOTAL 35,427 321,423,251

-8 DK 119 698,438
-7 REFUSED 4 44,886
-1 INAPPLICABLE 19,653 164,332,891
1 YES 1,299 11,404,230
2 NO 589 4,944,243
TOTAL 35,427 321,423,251
UNION31 UNION STATUS AT RD 3/1 CMJ 2.0 NUM 1149 1150

-8 DK 330 2,227,067
-7 REFUSED 31 260,524
-1 INAPPLICABLE 20,004 164,217,554
1 YES 1,429 14,927,884
2 NO 13,410 138,320,978
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-8 DK 97 596,615
-7 REFUSED 10 131,193
-1 INAPPLICABLE 19,656 163,261,675
1 YES 112 1,015,847
2 NO 2,298 20,616,002
TOTAL 35,427 321,423,251

-8 DK 66 376,814
-7 REFUSED 7 91,334
-1 INAPPLICABLE 19,510 163,011,462
1 YES 100 837,646
2 NO 1,980 17,103,761
TOTAL 35,427 321,423,251
DATE: July 24, 2017
NWK31 REASON NOT WORKING DURING RD 3/1 2.0 NUM 1155 1156

-8 DK 13 126,603
-7 REFUSED 17 109,184
-1 INAPPLICABLE 29,464 261,391,134
1 COULD NOT FIND WORK 388 3,004,406
2 RETIRED 2,465 29,062,552
3 UNABLE TO WORK BECAUSE ILL/DISABLED 1,503 13,070,236
4 ON TEMPORARY LAYOFF 29 208,652
5 MATERNITY/PATERNITY LEAVE 24 154,682
6 GOING TO SCHOOL 277 2,614,335
7 TAKING CARE OF HOME OR FAMILY 689 6,311,062
8 WANTED SOME TIME OFF 51 506,015
9 WAITING TO START NEW JOB 28 228,145
91 OTHER 149 1,504,070
TOTAL 35,427 321,423,251

-8 DK 15 137,819
-7 REFUSED 17 112,095
-1 INAPPLICABLE 29,876 265,518,528
2 RETIRED 2,681 31,234,549
91 OTHER 109 1,078,006
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-8 DK 16 129,499
-7 REFUSED 24 226,246
-1 INAPPLICABLE 29,667 263,531,233
2 RETIRED 2,689 31,559,812
91 OTHER 114 1,138,469
TOTAL 35,427 321,423,251
CHGJ3142 CHANGED JOB BETWEEN RD 3/1 AND RD 4/2 2.0 NUM 1161 1162

-1 INAPPLICABLE 19,930 163,781,938
1 LEFT PREVIOUS CMJ/HAS CMJ 1,142 11,434,503
2 CHANGED CURRENT MAIN JOB 90 1,065,517
3 LEFT PREVIOUS CMJ/DOES NOT HAVE CMJ 906 8,383,591
4 PREVIOUS CMJ CONTINUES; NO JOB CHANGE 13,114 135,123,312
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CHGJ4253 CHANGED JOB BETWEEN RD 4/2 AND RD 5/3 2.0 NUM 1163 1164

-1 INAPPLICABLE 19,621 162,948,777
1 LEFT PREVIOUS CMJ/HAS CMJ 970 9,418,473
2 CHANGED CURRENT MAIN JOB 91 960,708
3 LEFT PREVIOUS CMJ/DOES NOT HAVE CMJ 935 7,843,770
4 PREVIOUS CMJ CONTINUES; NO JOB CHANGE 13,639 139,344,703
TOTAL 35,427 321,423,251
YCHJ3142 WHY CHNGD JOB BETWEEN RD 3/1 AND RD 4/2 2.0 NUM 1165 1166

-8 DK 25 155,513
-7 REFUSED 20 175,508
-1 INAPPLICABLE 33,289 300,539,641
1 JOB ENDED 230 1,943,176
2 BUSINESS DISSOLVED OR SOLD 58 408,079
3 RETIRED 87 1,260,255
4 ILLNESS OR INJURY 90 707,708
5 LAID OFF 150 1,365,871
6 QUIT TO HAVE A BABY 23 139,630
7 QUIT TO GO TO SCHOOL 118 1,004,493
8 QUIT TO TAKE CARE OF HOME OR FAMILY 81 743,851
9 QUIT BECAUSE WANTED TIME OFF 43 398,179
10 QUIT TO TAKE ANOTHER JOB 708 7,430,644
11 UNPAID LEAVE 7 87,624
91 OTHER 392 3,780,312
TOTAL 35,427 321,423,251
DATE: July 24, 2017
YCHJ4253 WHY CHNGD JOB BETWEEN RD 4/2 AND RD 5/3 2.0 NUM 1167 1168

-8 DK 22 146,823
-7 REFUSED 27 179,950
-1 INAPPLICABLE 33,431 303,200,300
1 JOB ENDED 234 1,945,285
2 BUSINESS DISSOLVED OR SOLD 48 367,279
3 RETIRED 88 1,015,044
4 ILLNESS OR INJURY 82 696,997
5 LAID OFF 156 1,303,976
6 QUIT TO HAVE A BABY 22 144,191
7 QUIT TO GO TO SCHOOL 129 1,230,116
8 QUIT TO TAKE CARE OF HOME OR FAMILY 78 686,932
9 QUIT BECAUSE WANTED TIME OFF 42 411,260
10 QUIT TO TAKE OTHER JOB 621 6,116,944
11 UNPAID LEAVE 4 18,350
91 OTHER 337 2,890,398
TOTAL 35,427 321,423,251
STJBMM31 MONTH STARTED RD 3/1 CMJ 2.0 NUM 1169 1170

-8 DK 218 1,973,170
-7 REFUSED 3 32,165
-1 INAPPLICABLE 30,354 274,490,340
1 JANUARY 686 6,224,141
2 FEBRUARY 415 3,871,065
3 MARCH 428 4,036,134
4 APRIL 319 3,246,051
5 MAY 352 3,530,040
6 JUNE 320 3,091,562
7 JULY 325 2,861,009
8 AUGUST 442 4,468,406
9 SEPTEMBER 372 3,460,005
10 OCTOBER 377 3,338,606
11 NOVEMBER 338 2,945,002
12 DECEMBER 269 2,463,728
TOTAL 35,427 321,423,251
DATE: July 24, 2017
STJBYY31 YEAR STARTED RD 3/1 CMJ 4.0 NUM 1171 1174

-8 DK 335 2,509,012
-7 REFUSED 51 455,185
-1 INAPPLICABLE 19,962 163,981,882
1945 - 2015 YEAR 14,841 152,823,714
TOTAL 35,427 321,423,251

-8 DK 50 392,888
-7 REFUSED 2 24,635
-1 INAPPLICABLE 19,969 165,741,879
1 JANUARY 33 293,876
2 FEBRUARY 80 749,884
3 MARCH 185 1,504,495
4 APRIL 218 1,710,130
5 MAY 298 2,931,204
6 JUNE 443 4,076,622
7 JULY 332 2,802,984
8 AUGUST 302 2,993,275
9 SEPTEMBER 165 1,694,928
10 OCTOBER 61 564,768
11 NOVEMBER 30 202,928
12 DECEMBER 11 36,105
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-8 DK 48 226,944
-7 REFUSED 8 113,071
-1 INAPPLICABLE 19,651 163,191,169
1945 - 2015 YEAR 2,456 21,991,765
TOTAL 35,427 321,423,251

-8 DK 62 397,362
-1 INAPPLICABLE 19,727 164,478,067
1 JANUARY 209 1,707,138
2 FEBRUARY 147 1,292,992
3 MARCH 85 791,114
4 APRIL 53 563,434
5 MAY 34 451,894
6 JUNE 42 350,590
7 JULY 65 492,829
8 AUGUST 172 1,584,712
9 SEPTEMBER 259 2,442,679
10 OCTOBER 294 2,556,204
11 NOVEMBER 303 2,722,787
12 DECEMBER 213 1,603,684
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-8 DK 29 75,620
-7 REFUSED 5 61,440
-1 INAPPLICABLE 19,506 162,994,446
1945 - 2016 YEAR 2,112 18,188,436
TOTAL 35,427 321,423,251
EVRETIRE PERSON HAS EVER RETIRED 2.0 NUM 1187 1188

-8 DK 12 70,491
-7 REFUSED 3 26,909
-1 INAPPLICABLE 28,106 239,523,761
1 YES 2,667 32,419,494
2 NO 4,456 47,910,171
TOTAL 35,427 321,423,251
OCCCAT31 OCCUPATION GROUP RD 3/1 CMJ 2.0 NUM 1189 1190

-1 INAPPLICABLE 19,962 163,981,882
1 MANAGEMENT, BUSINESS, AND FINANCIAL OPER 2,072 26,720,624
2 PROFESSIONAL AND RELATED OCCUPATIONS 2,906 35,903,879
3 SERVICE OCCUPATIONS 3,294 26,395,253
4 SALES AND RELATED OCCUPATIONS 1,403 14,779,360
5 OFFICE AND ADMINISTRATIVE SUPPORT 1,746 17,612,662
6 FARMING, FISHING, AND FORESTRY 143 1,209,983
7 CONSTRUCTION, EXTRACTION, AND MAINTENANC 1,269 12,412,601
8 PRODUCTION, TRNSPORTATION, MATRL MOVING 2,191 19,226,297
9 MILITARY SPECIFIC OCCUPATIONS 46 273,845
11 UNCLASSIFIABLE OCCUPATION 189 1,554,141
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-1 INAPPLICABLE 19,651 163,191,169
1 MANAGEMENT, BUSINESS, AND FINANCIAL OPER 201 1,991,506
2 PROFESSIONAL AND RELATED OCCUPATIONS 368 4,090,852
3 SERVICE OCCUPATIONS 668 5,602,061
4 SALES AND RELATED OCCUPATIONS 310 2,826,112
5 OFFICE AND ADMINISTRATIVE SUPPORT 316 2,658,009
6 FARMING, FISHING, AND FORESTRY 45 251,970
7 CONSTRUCTION, EXTRACTION, AND MAINTENANC 176 1,466,172
8 PRODUCTION, TRNSPORTATION, MATRL MOVING 377 3,005,011
11 UNCLASSIFIABLE OCCUPATION 61 492,022
TOTAL 35,427 321,423,251

-1 INAPPLICABLE 19,506 162,994,446
1 MANAGEMENT, BUSINESS, AND FINANCIAL OPER 183 2,015,397
2 PROFESSIONAL AND RELATED OCCUPATIONS 322 3,198,902
3 SERVICE OCCUPATIONS 560 4,411,543
4 SALES AND RELATED OCCUPATIONS 274 2,402,462
5 OFFICE AND ADMINISTRATIVE SUPPORT 266 2,257,741
6 FARMING, FISHING, AND FORESTRY 37 196,788
7 CONSTRUCTION, EXTRACTION, AND MAINTENANC 146 1,224,161
8 PRODUCTION, TRNSPORTATION, MATRL MOVING 320 2,376,368
11 UNCLASSIFIABLE OCCUPATION 47 314,050
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PAYVAC31 PAID VACATION AT RD 3/1 CMJ 2.0 NUM 1195 1196

-8 DK 430 3,253,007
-7 REFUSED 26 236,614
-1 INAPPLICABLE 21,531 182,248,861
1 YES 8,294 91,431,046
2 NO 4,915 42,711,119
TOTAL 35,427 321,423,251

-8 DK 155 1,144,468
-7 REFUSED 10 126,210
-1 INAPPLICABLE 19,825 164,944,274
1 YES 824 7,726,945
2 NO 1,358 11,688,762
TOTAL 35,427 321,423,251

-8 DK 126 802,301
-7 REFUSED 5 69,473
-1 INAPPLICABLE 19,653 164,332,891
1 YES 712 6,244,030
2 NO 1,168 9,975,993
TOTAL 35,427 321,423,251
DATE: July 24, 2017
SICPAY31 PAID SICK LEAVE AT RD 3/1 CMJ 2.0 NUM 1201 1202

-8 DK 468 3,575,972
-7 REFUSED 27 267,562
-1 INAPPLICABLE 21,531 182,248,861
1 YES 7,366 83,251,535
2 NO 5,804 50,536,717
TOTAL 35,427 321,423,251

-8 DK 156 1,183,861
-7 REFUSED 9 113,502
-1 INAPPLICABLE 19,825 164,944,274
1 YES 758 7,233,345
2 NO 1,424 12,155,678
TOTAL 35,427 321,423,251

-8 DK 127 751,533
-7 REFUSED 7 76,448
-1 INAPPLICABLE 19,653 164,332,891
1 YES 692 6,164,829
2 NO 1,185 10,098,987
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PAYDR31 PAID LEAVE TO VISIT DR RD 3/1 CMJ 2.0 NUM 1207 1208

-8 DK 166 1,708,343
-7 REFUSED 3 35,504
-1 INAPPLICABLE 21,531 182,248,861
1 YES 6,555 74,521,111
2 NO 6,443 57,471,520
TOTAL 35,427 321,423,251

-8 DK 42 390,813
-7 REFUSED 1 15,257
-1 INAPPLICABLE 19,825 164,944,274
1 YES 653 6,339,860
2 NO 1,486 12,643,092
TOTAL 35,427 321,423,251

-8 DK 22 190,281
-7 REFUSED 1 0
-1 INAPPLICABLE 19,653 164,332,891
1 YES 605 5,422,415
2 NO 1,249 10,651,120
TOTAL 35,427 321,423,251
DATE: July 24, 2017
RETPLN31 PENSION PLAN AT RD 3/1 CMJ 2.0 NUM 1213 1214

-8 DK 653 5,072,845
-7 REFUSED 45 496,695
-1 INAPPLICABLE 21,531 182,248,861
1 YES 6,169 73,301,548
2 NO 6,797 58,756,331
TOTAL 35,427 321,423,251

-8 DK 174 1,314,176
-7 REFUSED 10 128,760
-1 INAPPLICABLE 19,825 164,944,274
1 YES 503 5,220,940
2 NO 1,660 14,022,510
TOTAL 35,427 321,423,251

-8 DK 138 783,729
-7 REFUSED 5 69,473
-1 INAPPLICABLE 19,653 164,332,891
1 YES 444 3,937,606
2 NO 1,424 12,300,989
TOTAL 35,427 321,423,251
DATE: July 24, 2017
BSNTY31 SOLE PROP, PARTNER, CORP, RD 3/1 CMJ 2.0 NUM 1219 1220

-8 DK 52 656,294
-7 REFUSED 4 36,990
-1 INAPPLICABLE 33,652 301,803,548
1 INCORPORATED 455 6,117,296
2 PROPRIETORSHIP 951 10,218,680
3 PARTNERSHIP 97 1,152,424
TOTAL 35,427 321,423,251

-8 DK 11 92,983
-7 REFUSED 2 47,623
-1 INAPPLICABLE 22,008 183,989,041
1 INCORPORATED 28 244,954
2 PROPRIETORSHIP 119 1,235,935
3 PARTNERSHIP 14 131,611
TOTAL 35,427 321,423,251

-8 DK 6 66,220
-7 REFUSED 2 17,942
-1 INAPPLICABLE 21,520 180,107,410
1 INCORPORATED 24 275,215
2 PROPRIETORSHIP 100 840,695
3 PARTNERSHIP 13 128,052
TOTAL 35,427 321,423,251
DATE: July 24, 2017
JOBORG31 PRIV (PROFIT,NONPROFIT) GOV RD 3/1 CMJ 2.0 NUM 1225 1226

-8 DK 224 1,672,025
-7 REFUSED 30 264,625
-1 INAPPLICABLE 21,531 182,248,861
1 PRIVATE COMPANY OR FOREIGN GOVT 11,306 112,494,001
2 FEDERAL GOVT OR ARMED FORCES 395 3,925,743
3 STATE OR LOCAL GOVT 1,735 19,465,272
TOTAL 35,427 321,423,251

-8 DK 58 371,488
-7 REFUSED 9 124,210
-1 INAPPLICABLE 19,825 164,944,274
2 FEDERAL GOVT OR ARMED FORCES 33 340,087
3 STATE OR LOCAL GOVT 178 1,780,539
TOTAL 35,427 321,423,251

-8 DK 43 212,514
-7 REFUSED 5 71,485
-1 INAPPLICABLE 19,653 164,332,891
2 FEDERAL GOVT OR ARMED FORCES 28 266,626
3 STATE OR LOCAL GOVT 148 1,393,828
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HELD31X HEALTH INSUR HELD FROM RD 3/1 CMJ (ED) 2.0 NUM 1231 1232

-8 DK 160 938,932
-7 REFUSED 15 182,004
-1 INAPPLICABLE 20,858 173,861,453
1 YES 6,766 75,837,480
2 NO 7,416 69,217,559
TOTAL 35,427 321,423,251

-8 DK 150 870,547
-7 REFUSED 11 144,730
-1 INAPPLICABLE 20,558 173,129,260
1 YES 6,827 75,737,012
2 NO 7,737 70,814,007
TOTAL 35,427 321,423,251

-8 DK 140 744,289
-7 REFUSED 9 85,184
-1 INAPPLICABLE 20,450 173,244,410
1 YES 7,029 76,946,265
2 NO 7,667 69,677,114
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OFFER31X HEALTH INSUR OFFERED BY RD 3/1 CMJ (ED) 2.0 NUM 1237 1238

-8 DK 358 2,601,573
-7 REFUSED 18 198,587
-1 INAPPLICABLE 20,858 173,861,453
1 YES 8,217 90,471,822
2 NO 4,799 43,011,316
TOTAL 35,427 321,423,251

-8 DK 348 2,371,273
-7 REFUSED 16 220,175
-1 INAPPLICABLE 20,558 173,129,260
1 YES 7,612 82,642,692
2 NO 4,846 43,021,310
TOTAL 35,427 321,423,251

-8 DK 289 1,717,005
-7 REFUSED 10 85,184
-1 INAPPLICABLE 20,450 173,244,410
1 YES 7,867 84,434,403
2 NO 4,720 41,629,495
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OFREMP31 EMPLOYER OFFERS HEALTH INS RD 3/1 CMJ 2.0 NUM 1243 1244

-8 DK 988 8,655,072
-7 REFUSED 22 255,639
-1 INAPPLICABLE 20,858 173,861,453
1 YES 9,338 102,019,308
2 NO 3,040 25,318,182
TOTAL 35,427 321,423,251

-8 DK 1,000 7,887,702
-7 REFUSED 17 228,028
-1 INAPPLICABLE 20,558 173,129,260
1 YES 8,706 94,238,784
2 NO 3,095 25,867,720
TOTAL 35,427 321,423,251

-8 DK 910 7,426,027
-7 REFUSED 14 119,620
-1 INAPPLICABLE 20,450 173,244,410
1 YES 8,942 95,667,964
2 NO 3,015 24,621,172
TOTAL 35,427 321,423,251
DATE: July 24, 2017
EMPST31 EMPLOYMENT STATUS RD 3/1 2.0 NUM 1249 1250

-8 DK 37 214,686
-7 REFUSED 89 617,223
-1 INAPPLICABLE 9,522 69,404,213
1 EMPLOYED AT RD 3/1 INT DATE 15,152 155,142,317
2 JOB TO RETURN TO AT RD 3/1 INT DATE 107 946,328
3 JOB DURING RD 3/1 REF PERIOD 316 3,143,413
4 NOT EMPLOYED DURING RD 3/1 10,124 91,434,256
TOTAL 35,427 321,423,251

-8 DK 22 94,308
-7 REFUSED 72 228,005
-1 INAPPLICABLE 9,075 68,138,638
3 JOB DURING RD 4/2 REF PERIOD 1,040 9,697,823
TOTAL 35,427 321,423,251

-8 DK 24 116,188
-7 REFUSED 70 392,454
-1 INAPPLICABLE 8,736 67,518,586
3 JOB DURING RD 5/3 REF PERIOD 1,030 8,550,171
TOTAL 35,427 321,423,251
DATE: July 24, 2017
EMPST31H EMPLOYMENT STATUS RD 3/1 (IMP) 2.0 NUM 1255 1256
-1 INAPPLICABLE 9,522 69,404,213

TOTAL 35,427 321,423,251
-1 INAPPLICABLE 9,075 68,138,638

TOTAL 35,427 321,423,251
-1 INAPPLICABLE 8,736 67,518,586

TOTAL 35,427 321,423,251
SLFCM31H SELF-EMPLOYED AT RD 3/1 CMJ (IMP) 2.0 NUM 1261 1262
-1 INAPPLICABLE 20,034 164,543,300

1 YES 1,589 18,412,708
2 NO 13,804 138,467,243
TOTAL 35,427 321,423,251
DATE: July 24, 2017
-1 INAPPLICABLE 19,704 163,486,206

1 YES 1,622 18,700,574
2 NO 14,101 139,236,471
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 19,547 163,227,700

1 YES 1,628 18,501,791
2 NO 14,252 139,693,760
TOTAL 35,427 321,423,251
NMEMP31H NUMBER OF EMPLOYEES AT RD 3/1 CMJ (IMP) 3.0 NUM 1267 1269
-1 INAPPLICABLE 20,034 164,543,300

TOTAL 35,427 321,423,251
-1 INAPPLICABLE 19,704 163,486,206

TOTAL 35,427 321,423,251
DATE: July 24, 2017
-1 INAPPLICABLE 19,547 163,227,700

TOTAL 35,427 321,423,251
MORE31H RD 3/1 CMJ FIRM MORE THAN 1 LOCAT (IMP) 2.0 NUM 1276 1277
-1 INAPPLICABLE 21,623 182,956,008

1 YES 9,536 97,941,151
2 NO 4,268 40,526,091
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 21,326 182,186,780

1 YES 9,802 98,825,536
2 NO 4,299 40,410,935
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 21,175 181,729,490

1 YES 9,893 98,974,981
2 NO 4,359 40,718,779
TOTAL 35,427 321,423,251
DATE: July 24, 2017
INDCT31H INDUSTRY GROUP RD 3/1 CMJ (IMP) 2.0 NUM 1282 1283
-1 INAPPLICABLE 20,034 164,543,300

2 MINING 64 845,090
14 MILITARY 45 273,845
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 19,704 163,486,206

2 MINING 59 784,991
14 MILITARY 49 388,114
TOTAL 35,427 321,423,251
DATE: July 24, 2017
-1 INAPPLICABLE 19,547 163,227,700

2 MINING 60 791,260
14 MILITARY 49 346,956
TOTAL 35,427 321,423,251
OCCCT31H OCCUPATION GROUP RD 3/1 CMJ (IMP) 2.0 NUM 1288 1289
-1 INAPPLICABLE 20,034 164,543,300

TOTAL 35,427 321,423,251
DATE: July 24, 2017
-1 INAPPLICABLE 19,704 163,486,206

TOTAL 35,427 321,423,251
-1 INAPPLICABLE 19,547 163,227,700

TOTAL 35,427 321,423,251
HOUR31H HOURS PER WEEK AT RD 3/1 CMJ (IMP) 3.0 NUM 1294 1296
-1 INAPPLICABLE 20,034 164,543,300

0 - 168 HOURS PER WEEK 15,393 156,879,951
TOTAL 35,427 321,423,251
DATE: July 24, 2017
-1 INAPPLICABLE 19,704 163,486,206

0 - 168 HOURS PER WEEK 15,723 157,937,045
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 19,547 163,227,700

0 - 168 HOURS PER WEEK 15,880 158,195,551
TOTAL 35,427 321,423,251
JBORG31H PRV, ST-LC GOV, FED GOV RD 3/1 CMJ (IMP) 2.0 NUM 1303 1304
-1 INAPPLICABLE 21,623 182,956,008

TOTAL 35,427 321,423,251
-1 INAPPLICABLE 21,326 182,186,780

TOTAL 35,427 321,423,251
DATE: July 24, 2017
-1 INAPPLICABLE 21,175 181,729,490

TOTAL 35,427 321,423,251
UNION31H UNION STATUS AT RD 3/1 CMJ (IMP) 2.0 NUM 1309 1310
-1 INAPPLICABLE 20,076 164,778,973

1 YES 1,478 15,175,542
2 NO 13,873 141,468,737
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 19,748 163,743,005

1 YES 1,491 15,199,533
2 NO 14,188 142,480,712
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 19,590 163,430,573

1 YES 1,515 15,292,705
2 NO 14,322 142,699,973
TOTAL 35,427 321,423,251
DATE: July 24, 2017
BSNTY31H SOL PROP, PRTNR, CORP, RD 3/1 CMJ (IMP) 2.0 NUM 1315 1316
-1 INAPPLICABLE 33,838 303,010,543

2 PROPRIETORSHIP 1,001 10,779,839
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 33,805 302,722,677

TOTAL 35,427 321,423,251
-1 INAPPLICABLE 33,799 302,921,460

TOTAL 35,427 321,423,251
HRWG31H HOURLY WAGE RD 3/1 CMJ (IMP) 6.2 NUM 1321 1326
-10 TOP-CODED WAGE 169 2,262,933

-1 INAPPLICABLE 21,623 182,956,008
.28 - 79.55 HOURLY WAGE 13,635 136,204,310
TOTAL 35,427 321,423,251
DATE: July 24, 2017
-10 TOP-CODED WAGE 177 2,340,125

-1 INAPPLICABLE 21,326 182,186,780
.28 - 79.55 HOURLY WAGE 13,924 136,896,346
TOTAL 35,427 321,423,251
-10 TOP-CODED WAGE 184 2,358,013

-1 INAPPLICABLE 21,175 181,729,490
.28 - 79.79 HOURLY WAGE 14,068 137,335,747
TOTAL 35,427 321,423,251
CMJHLD31 HLTH INSUR HELD FROM RD 3/1 CMJ (PRPL) 2.0 NUM 1339 1340
-1 INAPPLICABLE 20,991 174,917,557

1 YES 6,749 75,939,654
2 NO 7,687 70,566,041
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 20,685 174,094,011

1 YES 6,805 75,703,936
2 NO 7,937 71,625,305
TOTAL 35,427 321,423,251
DATE: July 24, 2017
-1 INAPPLICABLE 20,539 173,782,010

1 YES 6,862 75,308,632
2 NO 8,026 72,332,609
TOTAL 35,427 321,423,251
OFFER31H HEALTH INSUR OFFERED BY RD 3/1 CMJ (IMP) 2.0 NUM 1345 1346
-1 INAPPLICABLE 20,991 174,917,557

1 YES 9,193 100,121,552
2 NO 5,243 46,384,143
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 20,685 174,094,011

1 YES 9,431 100,923,351
2 NO 5,311 46,405,890
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 20,539 173,782,010

1 YES 9,712 102,505,418
2 NO 5,176 45,135,823
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OFEMP31H EMP OFFERS HEALTH INS RD 3/1 CMJ (IMP) 2.0 NUM 1351 1352
-1 INAPPLICABLE 20,991 174,917,557

1 YES 10,703 115,306,211
2 NO 3,733 31,199,483
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 20,685 174,094,011

1 YES 10,927 115,810,116
2 NO 3,815 31,519,125
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 20,539 173,782,010

1 YES 11,173 117,134,483
2 NO 3,715 30,506,758
TOTAL 35,427 321,423,251
PYVAC31H PAID VACATION AT RD 3/1 CMJ (IMP) 2.0 NUM 1357 1358
-1 INAPPLICABLE 21,623 182,956,008

1 YES 8,607 93,700,179
2 NO 5,197 44,767,063
TOTAL 35,427 321,423,251
DATE: July 24, 2017
-1 INAPPLICABLE 21,326 182,186,780

1 YES 8,673 93,203,916
2 NO 5,428 46,032,555
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 21,175 181,729,490

1 YES 8,696 92,505,140
2 NO 5,556 47,188,621
TOTAL 35,427 321,423,251
SCPAY31H PAID SICK LEAVE AT RD 3/1 CMJ (IMP) 2.0 NUM 1363 1364
-1 INAPPLICABLE 21,623 182,956,008

1 YES 7,667 85,489,085
2 NO 6,137 52,978,158
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 21,326 182,186,780

1 YES 7,762 85,534,668
2 NO 6,339 53,701,803
TOTAL 35,427 321,423,251
DATE: July 24, 2017
-1 INAPPLICABLE 21,175 181,729,490

1 YES 7,841 85,527,671
2 NO 6,411 54,166,089
TOTAL 35,427 321,423,251
PAYDR31H PAID LEAVE TO VISIT DR RD 3/1 CMJ (IMP) 2.0 NUM 1369 1370
-1 INAPPLICABLE 21,623 182,956,008

1 YES 6,808 76,895,258
2 NO 6,996 61,571,985
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 21,326 182,186,780

1 YES 6,892 77,007,849
2 NO 7,209 62,228,622
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 21,175 181,729,490

1 YES 6,955 76,962,093
2 NO 7,297 62,731,667
TOTAL 35,427 321,423,251
DATE: July 24, 2017
RTPLN31H PENSION PLAN AT RD 3/1 CMJ (IMP) 2.0 NUM 1375 1376
-1 INAPPLICABLE 21,623 182,956,008

1 YES 6,546 76,294,123
2 NO 7,258 62,173,120
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 21,326 182,186,780

1 YES 6,542 75,660,364
2 NO 7,559 63,576,107
TOTAL 35,427 321,423,251
-1 INAPPLICABLE 21,175 181,729,490

1 YES 6,596 75,119,433
2 NO 7,656 64,574,327
TOTAL 35,427 321,423,251
AFDC15 DID PERSON'S CHECK INCLUDE TANF 2.0 NUM 1381 1382

-8 DK 11 78,345
-1 INAPPLICABLE 35,136 319,665,340
1 AFDC 184 1,175,265
2 NOT AFDC 95 503,177
TOTAL 35,427 321,423,251
DATE: July 24, 2017
FILEDR15 HAS PERSON FILED A FED INCOME TAX RETURN 2.0 NUM 1383 1384

-8 DK 432 2,781,139
-7 REFUSED 421 3,103,062
-1 INAPPLICABLE 4,783 54,971,183
1 YES 6,036 58,498,841
2 NO 23,744 202,060,677
TOTAL 35,427 321,423,251
WILFIL15 WILL PERSON FILE FED INCOME TAX RETURN 2.0 NUM 1385 1386

-8 DK 588 3,925,080
-7 REFUSED 426 3,122,475
-1 INAPPLICABLE 10,818 113,439,999
1 YES 8,746 89,819,899
2 NO 14,838 111,107,449
TOTAL 35,427 321,423,251
FLSTAT15 PERSON'S FILING STATUS 2.0 NUM 1387 1388

-8 DK 279 2,366,249
-7 REFUSED 26 185,174
-1 INAPPLICABLE 20,646 173,134,536
1 SINGLE 7,052 69,076,101
2 MARRIED FILING JOINT RETURN 4,926 57,772,183
3 MARRIED FILING SEPARATELY 561 5,015,043
4 HEAD OF HOUSEHOLD W/ QUALIFYING PERSON 1,900 13,562,480
5 QUALIFYING WIDOWER W/ DEPENDENT 36 299,253
TOTAL 35,427 321,423,251
DATE: July 24, 2017
FILER15 PRIMARY OR SECONDARY FILER 2.0 NUM 1389 1390
-1 INAPPLICABLE 15,985 120,029,082

1 PRIMARY FILER 14,779 148,265,360
2 SECONDARY FILER 4,663 53,128,809
TOTAL 35,427 321,423,251
JTINRU15 JOINT FILER'S MEMBERSHIP IN RU 2.0 NUM 1391 1392
-1 INAPPLICABLE 25,840 210,545,614

1 YES 9,428 109,363,366
2 NO 159 1,514,271
TOTAL 35,427 321,423,251
JNTPID15 PID OF SECONDARY FILER 3.0 NUM 1393 1395
-1 INAPPLICABLE 26,009 212,175,421

101 - 402 9,418 109,247,830
TOTAL 35,427 321,423,251
CLMDEP15 DID/WILL PERS CLAIM DEPENDENTS ON RETURN 2.0 NUM 1396 1397

-8 DK 172 1,299,777
-7 REFUSED 31 289,523
-1 INAPPLICABLE 20,646 173,134,536
1 YES 5,517 47,268,102
2 NO 9,057 99,399,568
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DEPDNT15 PERSON IS FLAGGED A DEPENDENT 2.0 NUM 1398 1399
-1 INAPPLICABLE 26,283 245,726,074

1 YES 9,144 75,697,177
TOTAL 35,427 321,423,251
DPINRU15 DEPENDENTS IN/OUT OF RU 2.0 NUM 1400 1401
-1 INAPPLICABLE 29,918 274,291,270

1 DEPS IN RU 4,801 41,118,282
2 DEPS IN AND OUT OF RU 127 1,125,053
3 DEPS OUT OF RU 581 4,888,646
TOTAL 35,427 321,423,251
DPOTSD15 HOW MANY DEPENDENTS LIVE OUTSIDE RU 2.0 NUM 1402 1403
-8 DK 7 20,160
-7 REFUSED 1 11,068
-1 INAPPLICABLE 34,719 315,409,552
0 NO DEPENDENTS OUTSIDE RU 8 53,526
1 ONE DEPENDENT OUTSIDE RU 449 3,957,860
2 TWO DEPENDENTS OUTSIDE RU 178 1,518,032
3 THREE DEPENDENTS OUTSIDE RU 45 304,734
4 - 10 MORE THAN 3 DEPENDENTS OUTSIDE RU 20 148,318
TOTAL 35,427 321,423,251
DATE: July 24, 2017
TAXFRM15 TAX FORM PERSON WILL FILE 2.0 NUM 1404 1405

-8 DK 4,520 38,391,250
-7 REFUSED 61 667,156
-1 INAPPLICABLE 20,646 173,134,536
1 LONG FORM 1040 4,385 52,821,547
2 SHORT FORM 1040A 2,688 24,738,341
3 SHORT FORM 1040EZ 2,974 29,917,489
91 OTHER 150 1,731,010
TOTAL 35,427 321,423,251
CLMHIP15 DID/WILL PERS DEDUCT HEALTH INSUR. PREM. 2.0 NUM 1406 1407

-8 DK 434 5,608,810
-7 REFUSED 7 80,504
-1 INAPPLICABLE 30,892 266,870,694
1 YES 1,112 14,289,879
2 NO 2,728 31,664,027
3 NOT APPLICABLE 252 2,884,842
TOTAL 35,427 321,423,251
EICRDT15 DID/WILL PERS RECEIVE EARNED INC CREDIT 2.0 NUM 1408 1409

-8 DK 647 6,144,394
-7 REFUSED 11 107,650
-1 INAPPLICABLE 28,204 242,132,353
1 YES 1,190 9,799,962
2 NO 4,787 55,785,429
3 NOT APPLICABLE 586 7,441,965
TOTAL 35,427 321,423,251
DATE: July 24, 2017
FOODST15 DID ANYONE PURCHASE FOOD STAMPS 2.0 NUM 1410 1411
-8 DK 61 437,023
-7 REFUSED 356 3,205,200
1 YES 7,391 41,989,401
2 NO 27,545 274,724,512
TOTAL 35,427 321,423,251
FOODMN15 NUMBER OF MONTHS FOOD STAMPS PURCHASED 2.0 NUM 1412 1413

-8 DK 54 438,921
-7 REFUSED 11 101,914
-1 INAPPLICABLE 28,036 279,433,850
1 - 12 7,324 41,444,524
TOTAL 35,427 321,423,251
FOODVL15 MONTHLY VALUE OF FOOD STAMPS 4.0 NUM 1414 1417
-8 DK 211 1,266,245
-7 REFUSED 57 434,532
-1 INAPPLICABLE 28,038 279,437,892
0.00 1 5,958
$4 - $190 1,859 11,725,224
$191 - $300 1,906 11,403,842
$301 - $480 1,606 8,350,992
$481 - $7,680 1,749 8,798,565
TOTAL 35,427 321,423,251
DATE: July 24, 2017
TTLP15X PERSON'S TOTAL INCOME 7.0 NUM 1418 1424
-$149,923 - -$58 11 109,985

0.00 12,068 89,996,708
$2 - $12,000 5,841 46,057,754
$12,001 - $24,082 5,833 49,941,506
$24,083 - $45,000 5,864 59,156,447
$45,001 - $409,118 5,810 76,160,852
TOTAL 35,427 321,423,251
FAMINC15 FAMILY'S TOTAL INCOME 7.0 NUM 1425 1431
-$134,723 - -$523 9 48,748

0.00 1,161 6,246,944
$9 - $23,000 8,593 55,616,975
$23,001 - $47,000 8,563 66,442,676
$47,001 - $85,514 8,537 82,757,829
$85,515 - $521,685 8,564 110,310,080
TOTAL 35,427 321,423,251
POVCAT15 FAMILY INC AS % OF POVERTY LINE - CATEGO 1.0 NUM 1432 1432
1 POOR/NEGATIVE 7,924 43,502,893

2 NEAR POOR 2,260 14,177,868
3 LOW INCOME 5,921 44,382,151
4 MIDDLE INCOME 10,111 91,924,509
5 HIGH INCOME 9,211 127,435,829
TOTAL 35,427 321,423,251
DATE: July 24, 2017
POVLEV15 FAMILY INC AS % OF POVERTY LINE - CONTIN 11.6 NUM 1433 1443
-824.65--3.65 9 48,748
0.00 1,161 6,246,944
0.08 - 3051.38 34,257 315,127,559
TOTAL 35,427 321,423,251
WAGEP15X PERSON'S WAGE INCOME 6.0 NUM 1444 1449
0.00 17,355 142,796,592

$41 - $13,200 4,525 37,831,132
$13,201 - $26,000 4,640 37,285,771
$26,001 - $47,000 4,394 44,631,930
$47,001 - $402,105 4,513 58,877,825
TOTAL 35,427 321,423,251
WAGIMP15 WAGE IMPUTATION FLAG 1.0 NUM 1450 1450
1 ORIGINAL RESPONSE USED 27,056 240,505,947

2 BRACKET CONVERTED 3,386 33,054,009
4 WEEKS WORKED/EARNINGS USED 3,925 37,313,596
5 CONDITIONAL HOTDECK 729 8,804,975
6 UNCONDITIONAL HOTDECK 331 1,744,724
TOTAL 35,427 321,423,251
DATE: July 24, 2017
BUSNP15X PERSON'S BUSINESS INCOME 6.0 NUM 1451 1456
-$50,750 - -$100 80 1,182,602

0.00 34,999 315,355,231
$10 - $8,547 88 1,241,533
$8,548 - $27,491 86 1,168,274
$27,492 - $55,652 87 1,214,096
$55,653 - $258,246 87 1,261,516
TOTAL 35,427 321,423,251
BUSIMP15 BUSINESS INCOME IMPUTATION FLAG 1.0 NUM 1457 1457

2 BRACKET CONVERTED 126 1,891,584
3 MISSING VALUES SET TO 0 1,598 16,934,916
5 CONDITIONAL HOTDECK 2 8,505
TOTAL 35,427 321,423,251
UNEMP15X PERSON'S UNEMPLOYMENT COMP INCOME 4.0 NUM 1458 1461
0.00 34,835 316,210,692

$5 - $798 149 1,255,939
$799 - $3,203 149 1,399,095
$3,204 - $4,192 150 1,146,840
$4,193 - $8,411 144 1,410,684
TOTAL 35,427 321,423,251
UNEIMP15 UNEMPLOYMENT IMPUTATION FLAG 1.0 NUM 1462 1462

2 BRACKET CONVERTED 78 832,812
6 UNCONDITIONAL HOTDECK 1,159 10,463,297
TOTAL 35,427 321,423,251
DATE: July 24, 2017
WCMPP15X PERSON'S WORKERS' COMPENSATION 5.0 NUM 1463 1467
0.00 35,304 320,245,799

$309 - $3,365 35 346,389
$3,366 - $6,299 27 305,520
$6,300 - $14,154 32 257,607
$14,155 - $29,562 29 267,936
TOTAL 35,427 321,423,251
WCPIMP15 WORKERS' COMP IMPUTATION FLAG 1.0 NUM 1468 1468

TOTAL 35,427 321,423,251
INTRP15X PERSON'S INTEREST INCOME 5.0 NUM 1469 1473
0.00 31,977 273,385,799

$2 - $25 977 12,591,112
$26 - $100 896 12,358,734
$101 - $500 749 10,462,657
$501 - $98,475 828 12,624,949
TOTAL 35,427 321,423,251
INTIMP15 INTEREST INCOME IMPUTATION FLAG 1.0 NUM 1474 1474

2 BRACKET CONVERTED 1,046 13,943,522
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DIVDP15X PERSON'S DIVIDEND INCOME 5.0 NUM 1475 1479
0.00 33,651 295,990,024

$3 - $75 459 5,909,040
$76 - $379 429 5,917,008
$380 - $2,000 458 6,962,578
$2,001 - $56,547 430 6,644,601
TOTAL 35,427 321,423,251
DIVIMP15 DIVIDEND INCOME IMPUTATION FLAG 1.0 NUM 1480 1480

TOTAL 35,427 321,423,251
SALEP15X PERSON'S SALES INCOME 7.0 NUM 1481 1487
-$481,862 - -$316 76 1,014,762

0.00 35,147 317,442,655
$947 - $8,861 51 849,971
$8,862 - $28,972 51 815,333
$28,973 - $51,022 51 688,729
$51,023 - $306,186 51 611,801
TOTAL 35,427 321,423,251
SALIMP15 SALES INCOME IMPUTATION FLAG 1.0 NUM 1488 1488

2 BRACKET CONVERTED 47 621,750
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PENSP15X PERSON'S PENSION INCOME 6.0 NUM 1489 1494
0.00 33,275 293,461,719

$9 - $4,440 539 6,520,532
$4,441 - $10,800 544 6,702,571
$10,801 - $21,309 531 7,352,699
$21,310 - $118,422 538 7,385,730
TOTAL 35,427 321,423,251
PENIMP15 PENSION INCOME IMPUTATION FLAG 1.0 NUM 1495 1495

TOTAL 35,427 321,423,251
SSECP15X PERSON'S SOCIAL SECURITY INCOME 5.0 NUM 1496 1500
0.00 30,860 271,232,836

$1,189 - $8,676 1,143 10,615,425
$8,677 - $12,072 1,141 11,053,279
$12,073 - $17,000 1,170 13,857,107
$17,001 - $66,820 1,113 14,664,605
TOTAL 35,427 321,423,251
SSCIMP15 SOCIAL SECURITY INCOME IMPUTATION FLAG 1.0 NUM 1501 1501

TOTAL 35,427 321,423,251
DATE: July 24, 2017
TRSTP15X PERSON'S TRUST/RENT INCOME 7.0 NUM 1502 1508
-$263,119 - -$100 95 1,258,875

0.00 34,765 312,324,789
$5 - $2,000 142 1,913,356
$2,001 - $11,647 142 2,064,910
$11,648 - $17,630 143 1,874,110
$17,631 - $113,193 140 1,987,210
TOTAL 35,427 321,423,251
TRTIMP15 TRUST INCOME IMPUTATION FLAG 1.0 NUM 1509 1509

TOTAL 35,427 321,423,251
VETSP15X PERSON'S VETERAN'S INCOME 5.0 NUM 1510 1514
0.00 35,186 318,811,401

$815 - $6,373 61 620,716
$6,374 - $12,626 60 650,874
$12,627 - $16,751 60 603,559
$16,752 - $41,920 60 736,701
TOTAL 35,427 321,423,251
VETIMP15 VETERAN'S INCOME IMPUTATION FLAG 1.0 NUM 1515 1515

3 MISSING VALUES SET TO 0 87 658,678
TOTAL 35,427 321,423,251
DATE: July 24, 2017
IRASP15X PERSON'S IRA INCOME 6.0 NUM 1516 1521
0.00 34,126 304,200,375

$5 - $1,200 338 4,017,313
$1,201 - $4,500 313 4,057,768
$4,501 - $20,183 326 4,425,399
$20,184 - $131,419 324 4,722,395
TOTAL 35,427 321,423,251
IRAIMP15 IRA INCOME IMPUTATION FLAG 1.0 NUM 1522 1522

TOTAL 35,427 321,423,251
ALIMP15X PERSON'S ALIMONY INCOME 5.0 NUM 1523 1527
0.00 35,376 320,951,855

$425 - $18,730 51 471,396
TOTAL 35,427 321,423,251
ALIIMP15 ALIMONY INCOME IMPUTATION FLAG 1.0 NUM 1528 1528

3 MISSING VALUES SET TO 0 976 9,271,563
6 UNCONDITIONAL HOTDECK 112 918,663
TOTAL 35,427 321,423,251
DATE: July 24, 2017
CHLDP15X PERSON'S CHILD SUPPORT 5.0 NUM 1529 1533
0.00 34,817 316,571,631

$10 - $1,500 161 1,136,055
$1,501 - $6,025 145 1,078,502
$6,026 - $8,530 152 1,185,787
$8,531 - $39,680 152 1,451,277
TOTAL 35,427 321,423,251
CHLIMP15 CHILD SUPPORT IMPUTATION FLAG 1.0 NUM 1534 1534

TOTAL 35,427 321,423,251
CASHP15X PERSON'S OTHER REGULAR CASH CONTRIBUTION 6.0 NUM 1535 1540
0.00 35,221 319,297,395

$423 - $2,529 52 498,408
$2,530 - $5,625 51 455,732
$5,626 - $11,979 56 532,690
$11,980 - $207,016 47 639,026
TOTAL 35,427 321,423,251
CSHIMP15 CASH CONTRIBUTION IMPUTATION FLAG 1.0 NUM 1541 1541

TOTAL 35,427 321,423,251
DATE: July 24, 2017
SSIP15X PERSON'S SSI 5.0 NUM 1542 1546
0.00 34,277 313,460,187

$24 - $5,244 288 1,842,908
$5,245 - $8,664 289 2,002,515
$8,665 - $11,412 300 1,966,446
$11,413 - $37,689 273 2,151,194
TOTAL 35,427 321,423,251
SSIIMP15 SSI IMPUTATION FLAG 1.0 NUM 1547 1547

TOTAL 35,427 321,423,251
PUBP15X PERSON'S PUBLIC ASSISTANCE 4.0 NUM 1548 1551
0.00 35,166 319,856,917

$157 - $1,678 66 514,036
$1,679 - $2,855 65 410,171
$2,856 - $4,439 68 361,145
$4,440 - $8,930 62 280,983
TOTAL 35,427 321,423,251
PUBIMP15 PUBLIC ASSISTANCE IMPUTATION FLAG 1.0 NUM 1552 1552

TOTAL 35,427 321,423,251
DATE: July 24, 2017
OTHRP15X PERSON'S OTHER INCOME 6.0 NUM 1553 1558
0.00 35,188 318,453,511

$613 - $3,783 61 677,927
$3,784 - $11,318 59 613,428
$11,319 - $16,444 60 870,155
$16,445 - $162,084 59 808,230
TOTAL 35,427 321,423,251
OTHIMP15 OTHER INCOME IMPUTATION FLAG 1.0 NUM 1559 1559

TOTAL 35,427 321,423,251
HIEUIDX HIEU IDENTIFIER 7.0 CHAR 1560 1566
VALID ID 35,427 321,423,251

TOTAL 35,427 321,423,251
TRIJA15X COVERED BY TRICARE/CHAMPVA IN JAN15 (ED) 2.0 NUM 1567 1568
-1 INAPPLICABLE 1,090 4,187,949

1 YES 731 8,278,141
2 NO 33,606 308,957,161
TOTAL 35,427 321,423,251
DATE: July 24, 2017
TRIFE15X COVERED BY TRICARE/CHAMPVA IN FEB15 (ED) 2.0 NUM 1569 1570
-1 INAPPLICABLE 1,034 4,199,824

1 YES 754 8,509,638
2 NO 33,639 308,713,788
TOTAL 35,427 321,423,251
TRIMA15X COVERED BY TRICARE/CHAMPVA IN MAR15 (ED) 2.0 NUM 1571 1572

1 YES 762 8,549,151
2 NO 33,699 308,643,036
TOTAL 35,427 321,423,251
TRIAP15X COVERED BY TRICARE/CHAMPVA IN APR15(ED) 2.0 NUM 1573 1574

1 YES 758 8,466,293
2 NO 33,790 308,768,294
TOTAL 35,427 321,423,251
TRIMY15X COVERED BY TRICARE/CHAMPVA IN MAY15 (ED) 2.0 NUM 1575 1576

1 YES 755 8,399,240
2 NO 33,849 308,744,631
TOTAL 35,427 321,423,251
DATE: July 24, 2017
TRIJU15X COVERED BY TRICARE/CHAMPVA IN JUN15 (ED) 2.0 NUM 1577 1578

1 YES 765 8,472,467
2 NO 33,927 308,855,676
TOTAL 35,427 321,423,251
TRIJL15X COVERED BY TRICARE/CHAMPVA IN JUL15 (ED) 2.0 NUM 1579 1580

1 YES 776 8,537,172
2 NO 33,996 308,784,111
TOTAL 35,427 321,423,251
TRIAU15X COVERED BY TRICARE/CHAMPVA IN AUG15 (ED) 2.0 NUM 1581 1582

1 YES 787 8,640,088
2 NO 34,075 308,816,239
TOTAL 35,427 321,423,251
TRISE15X COVERED BY TRICARE/CHAMPVA IN SEP15 (ED) 2.0 NUM 1583 1584

1 YES 793 8,686,136
2 NO 34,129 308,791,158
TOTAL 35,427 321,423,251
DATE: July 24, 2017
TRIOC15X COVERED BY TRICARE/CHAMPVA IN OCT15 (ED) 2.0 NUM 1585 1586

1 YES 794 8,684,415
2 NO 34,218 308,871,877
TOTAL 35,427 321,423,251
TRINO15X COVERED BY TRICARE/CHAMPVA IN NOV15 (ED) 2.0 NUM 1587 1588

1 YES 798 8,677,223
2 NO 34,288 309,177,644
TOTAL 35,427 321,423,251
TRIDE15X COVERED BY TRICARE/CHAMPVA IN DEC15 (ED) 2.0 NUM 1589 1590

1 YES 798 8,634,342
2 NO 34,325 309,256,728
TOTAL 35,427 321,423,251
MCRJA15 COVERED BY MEDICARE IN JAN15 2.0 NUM 1591 1592
-1 INAPPLICABLE 1,090 4,187,949

1 YES 4,880 52,514,847
2 NO 29,457 264,720,455
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCRFE15 COVERED BY MEDICARE IN FEB15 2.0 NUM 1593 1594
-1 INAPPLICABLE 1,034 4,199,824

1 YES 4,902 52,528,688
2 NO 29,491 264,694,738
TOTAL 35,427 321,423,251
MCRMA15 COVERED BY MEDICARE IN MAR15 2.0 NUM 1595 1596

1 YES 4,912 52,546,154
2 NO 29,549 264,646,033
TOTAL 35,427 321,423,251
MCRAP15 COVERED BY MEDICARE IN APR15 2.0 NUM 1597 1598

1 YES 4,922 52,656,386
2 NO 29,626 264,578,201
TOTAL 35,427 321,423,251
MCRMY15 COVERED BY MEDICARE IN MAY15 2.0 NUM 1599 1600

1 YES 4,937 52,765,803
2 NO 29,667 264,378,069
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCRJU15 COVERED BY MEDICARE IN JUN15 2.0 NUM 1601 1602

1 YES 4,959 52,887,449
2 NO 29,733 264,440,693
TOTAL 35,427 321,423,251
MCRJL15 COVERED BY MEDICARE IN JUL15 2.0 NUM 1603 1604

1 YES 4,992 53,088,449
2 NO 29,780 264,232,834
TOTAL 35,427 321,423,251
MCRAU15 COVERED BY MEDICARE IN AUG15 2.0 NUM 1605 1606

1 YES 5,013 53,238,126
2 NO 29,849 264,218,200
TOTAL 35,427 321,423,251
MCRSE15 COVERED BY MEDICARE IN SEP15 2.0 NUM 1607 1608

1 YES 5,024 53,272,583
2 NO 29,898 264,204,711
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCROC15 COVERED BY MEDICARE IN OCT15 2.0 NUM 1609 1610

1 YES 5,044 53,424,557
2 NO 29,968 264,131,735
TOTAL 35,427 321,423,251
MCRNO15 COVERED BY MEDICARE IN NOV15 2.0 NUM 1611 1612

1 YES 5,057 53,681,840
2 NO 30,029 264,173,027
TOTAL 35,427 321,423,251
MCRDE15 COVERED BY MEDICARE IN DEC15 2.0 NUM 1613 1614

1 YES 5,065 53,687,326
2 NO 30,058 264,203,744
TOTAL 35,427 321,423,251
MCRJA15X COVERED BY MEDICARE IN JAN15 (ED) 2.0 NUM 1615 1616
-1 INAPPLICABLE 1,090 4,187,949

1 YES 5,007 53,660,431
2 NO 29,330 263,574,871
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCRFE15X COVERED BY MEDICARE IN FEB15 (ED) 2.0 NUM 1617 1618
-1 INAPPLICABLE 1,034 4,199,824

1 YES 5,041 53,944,249
2 NO 29,352 263,279,178
TOTAL 35,427 321,423,251
MCRMA15X COVERED BY MEDICARE IN MAR15 (ED) 2.0 NUM 1619 1620

1 YES 5,058 54,007,426
2 NO 29,403 263,184,760
TOTAL 35,427 321,423,251
MCRAP15X COVERED BY MEDICARE IN APR15 (ED) 2.0 NUM 1621 1622

1 YES 5,063 54,097,256
2 NO 29,485 263,137,330
TOTAL 35,427 321,423,251
MCRMY15X COVERED BY MEDICARE IN MAY15 (ED) 2.0 NUM 1623 1624

1 YES 5,070 54,084,869
2 NO 29,534 263,059,003
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCRJU15X COVERED BY MEDICARE IN JUN15 (ED) 2.0 NUM 1625 1626

1 YES 5,081 54,070,006
2 NO 29,611 263,258,137
TOTAL 35,427 321,423,251
MCRJL15X COVERED BY MEDICARE IN JUL15 (ED) 2.0 NUM 1627 1628

1 YES 5,107 54,132,659
2 NO 29,665 263,188,624
TOTAL 35,427 321,423,251
MCRAU15X COVERED BY MEDICARE IN AUG15 (ED) 2.0 NUM 1629 1630

1 YES 5,140 54,463,474
2 NO 29,722 262,992,852
TOTAL 35,427 321,423,251
MCRSE15X COVERED BY MEDICARE IN SEP15 (ED) 2.0 NUM 1631 1632

1 YES 5,164 54,645,604
2 NO 29,758 262,831,690
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCROC15X COVERED BY MEDICARE IN OCT15 (ED) 2.0 NUM 1633 1634

1 YES 5,175 54,651,877
2 NO 29,837 262,904,416
TOTAL 35,427 321,423,251
MCRNO15X COVERED BY MEDICARE IN NOV15 (ED) 2.0 NUM 1635 1636

1 YES 5,183 54,802,780
2 NO 29,903 263,052,087
TOTAL 35,427 321,423,251
MCRDE15X COVERED BY MEDICARE IN DEC15 (ED) 2.0 NUM 1637 1638

1 YES 5,184 54,740,550
2 NO 29,939 263,150,521
TOTAL 35,427 321,423,251
MCDJA15 COV BY MEDICAID OR SCHIP IN JAN15 2.0 NUM 1639 1640
-1 INAPPLICABLE 1,090 4,187,949

1 YES 9,521 56,842,546
2 NO 24,816 260,392,756
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCDFE15 COV BY MEDICAID OR SCHIP IN FEB15 2.0 NUM 1641 1642
-1 INAPPLICABLE 1,034 4,199,824

1 YES 9,734 57,981,533
2 NO 24,659 259,241,894
TOTAL 35,427 321,423,251
MCDMA15 COV BY MEDICAID OR SCHIP IN MAR15 2.0 NUM 1643 1644

1 YES 9,890 58,863,321
2 NO 24,571 258,328,865
TOTAL 35,427 321,423,251
MCDAP15 COV BY MEDICAID OR SCHIP IN APR15 2.0 NUM 1645 1646

1 YES 9,948 59,382,493
2 NO 24,600 257,852,094
TOTAL 35,427 321,423,251
MCDMY15 COV BY MEDICAID OR SCHIP IN MAY15 2.0 NUM 1647 1648

1 YES 10,000 59,208,561
2 NO 24,604 257,935,310
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCDJU15 COV BY MEDICAID OR SCHIP IN JUN15 2.0 NUM 1649 1650

1 YES 10,036 59,293,128
2 NO 24,656 258,035,014
TOTAL 35,427 321,423,251
MCDJL15 COV BY MEDICAID OR SCHIP IN JUL15 2.0 NUM 1651 1652

1 YES 10,227 60,283,204
2 NO 24,545 257,038,079
TOTAL 35,427 321,423,251
MCDAU15 COV BY MEDICAID OR SCHIP IN AUG15 2.0 NUM 1653 1654

1 YES 10,308 60,849,568
2 NO 24,554 256,606,758
TOTAL 35,427 321,423,251
MCDSE15 COV BY MEDICAID OR SCHIP IN SEP15 2.0 NUM 1655 1656

1 YES 10,249 60,427,428
2 NO 24,673 257,049,866
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCDOC15 COV BY MEDICAID OR SCHIP IN OCT15 2.0 NUM 1657 1658

1 YES 10,196 60,037,960
2 NO 24,816 257,518,332
TOTAL 35,427 321,423,251
MCDNO15 COV BY MEDICAID OR SCHIP IN NOV15 2.0 NUM 1659 1660

1 YES 10,164 59,667,468
2 NO 24,922 258,187,399
TOTAL 35,427 321,423,251
MCDDE15 COV BY MEDICAID OR SCHIP IN DEC15 2.0 NUM 1661 1662

1 YES 10,174 59,594,817
2 NO 24,949 258,296,253
TOTAL 35,427 321,423,251
MCDJA15X COV BY MEDICAID OR SCHIP IN JAN15 (ED) 2.0 NUM 1663 1664
-1 INAPPLICABLE 1,090 4,187,949

1 YES 9,667 57,777,105
2 NO 24,670 259,458,197
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCDFE15X COV BY MEDICAID OR SCHIP IN FEB15 (ED) 2.0 NUM 1665 1666
-1 INAPPLICABLE 1,034 4,199,824

1 YES 9,881 58,933,943
2 NO 24,512 258,289,484
TOTAL 35,427 321,423,251
MCDMA15X COV BY MEDICAID OR SCHIP IN MAR15 (ED) 2.0 NUM 1667 1668

1 YES 10,035 59,794,387
2 NO 24,426 257,397,800
TOTAL 35,427 321,423,251
MCDAP15X COV BY MEDICAID OR SCHIP IN APR15 (ED) 2.0 NUM 1669 1670

1 YES 10,096 60,268,507
2 NO 24,452 256,966,079
TOTAL 35,427 321,423,251
MCDMY15X COV BY MEDICAID OR SCHIP IN MAY15 (ED) 2.0 NUM 1671 1672

1 YES 10,153 60,125,240
2 NO 24,451 257,018,631
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCDJU15X COV BY MEDICAID OR SCHIP IN JUN15 (ED) 2.0 NUM 1673 1674

1 YES 10,192 60,238,452
2 NO 24,500 257,089,691
TOTAL 35,427 321,423,251
MCDJL15X COV BY MEDICAID OR SCHIP IN JUL15 (ED) 2.0 NUM 1675 1676

1 YES 10,388 61,306,932
2 NO 24,384 256,014,351
TOTAL 35,427 321,423,251
MCDAU15X COV BY MEDICAID OR SCHIP IN AUG15 (ED) 2.0 NUM 1677 1678

1 YES 10,481 61,944,045
2 NO 24,381 255,512,281
TOTAL 35,427 321,423,251
MCDSE15X COV BY MEDICAID OR SCHIP IN SEP15 (ED) 2.0 NUM 1679 1680

1 YES 10,442 61,642,629
2 NO 24,480 255,834,665
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCDOC15X COV BY MEDICAID OR SCHIP IN OCT15 (ED) 2.0 NUM 1681 1682

1 YES 10,407 61,291,459
2 NO 24,605 256,264,834
TOTAL 35,427 321,423,251
MCDNO15X COV BY MEDICAID OR SCHIP IN NOV15 (ED) 2.0 NUM 1683 1684

1 YES 10,378 60,937,768
2 NO 24,708 256,917,099
TOTAL 35,427 321,423,251
MCDDE15X COV BY MEDICAID OR SCHIP IN DEC15 (ED) 2.0 NUM 1685 1686

1 YES 10,390 60,881,025
2 NO 24,733 257,010,045
TOTAL 35,427 321,423,251
OPAJA15 COV BY OTHER PUBLIC A INS IN JAN15 2.0 NUM 1687 1688
-1 INAPPLICABLE 1,090 4,187,949

1 YES 70 723,069
2 NO 34,267 316,512,233
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPAFE15 COV BY OTHER PUBLIC A INS IN FEB15 2.0 NUM 1689 1690
-1 INAPPLICABLE 1,034 4,199,824

1 YES 78 748,575
2 NO 34,315 316,474,852
TOTAL 35,427 321,423,251
OPAMA15 COV BY OTHER PUBLIC A INS IN MAR15 2.0 NUM 1691 1692

1 YES 87 896,576
2 NO 34,374 316,295,610
TOTAL 35,427 321,423,251
OPAAP15 COV BY OTHER PUBLIC A INS IN APR15 2.0 NUM 1693 1694

1 YES 83 859,539
2 NO 34,465 316,375,048
TOTAL 35,427 321,423,251
OPAMY15 COV BY OTHER PUBLIC A INS IN MAY15 2.0 NUM 1695 1696

1 YES 81 760,096
2 NO 34,523 316,383,775
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPAJU15 COV BY OTHER PUBLIC A INS IN JUN15 2.0 NUM 1697 1698

1 YES 92 843,480
2 NO 34,600 316,484,662
TOTAL 35,427 321,423,251
OPAJL15 COV BY OTHER PUBLIC A INS IN JUL15 2.0 NUM 1699 1700

1 YES 88 761,427
2 NO 34,684 316,559,856
TOTAL 35,427 321,423,251
OPAAU15 COV BY OTHER PUBLIC A INS IN AUG15 2.0 NUM 1701 1702

1 YES 88 745,053
2 NO 34,774 316,711,273
TOTAL 35,427 321,423,251
OPASE15 COV BY OTHER PUBLIC A INS IN SEP15 2.0 NUM 1703 1704

1 YES 92 680,200
2 NO 34,830 316,797,094
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPAOC15 COV BY OTHER PUBLIC A INS IN OCT15 2.0 NUM 1705 1706

1 YES 91 791,720
2 NO 34,921 316,764,573
TOTAL 35,427 321,423,251
OPANO15 COV BY OTHER PUBLIC A INS IN NOV15 2.0 NUM 1707 1708

1 YES 88 778,448
2 NO 34,998 317,076,419
TOTAL 35,427 321,423,251
OPADE15 COV BY OTHER PUBLIC A INS IN DEC15 2.0 NUM 1709 1710

1 YES 89 803,013
2 NO 35,034 317,088,057
TOTAL 35,427 321,423,251
OPBJA15 COV BY OTHER PUBLIC B INS IN JAN15 2.0 NUM 1711 1712
-1 INAPPLICABLE 1,090 4,187,949

1 YES 209 2,245,861
2 NO 34,128 314,989,441
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPBFE15 COV BY OTHER PUBLIC B INS IN FEB15 2.0 NUM 1713 1714
-1 INAPPLICABLE 1,034 4,199,824

1 YES 214 2,212,600
2 NO 34,179 315,010,826
TOTAL 35,427 321,423,251
OPBMA15 COV BY OTHER PUBLIC B INS IN MAR15 2.0 NUM 1715 1716

1 YES 223 2,269,338
2 NO 34,238 314,922,848
TOTAL 35,427 321,423,251
OPBAP15 COV BY OTHER PUBLIC B INS IN APR15 2.0 NUM 1717 1718

1 YES 225 2,362,011
2 NO 34,323 314,872,576
TOTAL 35,427 321,423,251
OPBMY15 COV BY OTHER PUBLIC B INS IN MAY15 2.0 NUM 1719 1720

1 YES 224 2,305,592
2 NO 34,380 314,838,279
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPBJU15 COV BY OTHER PUBLIC B INS IN JUN15 2.0 NUM 1721 1722

1 YES 221 2,268,852
2 NO 34,471 315,059,290
TOTAL 35,427 321,423,251
OPBJL15 COV BY OTHER PUBLIC B INS IN JUL15 2.0 NUM 1723 1724

1 YES 232 2,372,361
2 NO 34,540 314,948,922
TOTAL 35,427 321,423,251
OPBAU15 COV BY OTHER PUBLIC B INS IN AUG15 2.0 NUM 1725 1726

1 YES 249 2,467,665
2 NO 34,613 314,988,661
TOTAL 35,427 321,423,251
OPBSE15 COV BY OTHER PUBLIC B INS IN SEP15 2.0 NUM 1727 1728

1 YES 265 2,671,391
2 NO 34,657 314,805,903
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPBOC15 COV BY OTHER PUBLIC B INS IN OCT15 2.0 NUM 1729 1730

1 YES 267 2,720,406
2 NO 34,745 314,835,886
TOTAL 35,427 321,423,251
OPBNO15 COV BY OTHER PUBLIC B INS IN NOV15 2.0 NUM 1731 1732

1 YES 271 2,720,984
2 NO 34,815 315,133,883
TOTAL 35,427 321,423,251
OPBDE15 COV BY OTHER PUBLIC B INS IN DEC15 2.0 NUM 1733 1734

1 YES 269 2,690,620
2 NO 34,854 315,200,450
TOTAL 35,427 321,423,251
STAJA15 COVERED BY OTHER STATE PROG IN JAN15 2.0 NUM 1735 1736
-1 INAPPLICABLE 1,090 4,187,949

1 YES 181 1,421,740
2 NO 34,156 315,813,562
TOTAL 35,427 321,423,251
DATE: July 24, 2017
STAFE15 COVERED BY OTHER STATE PROG IN FEB15 2.0 NUM 1737 1738
-1 INAPPLICABLE 1,034 4,199,824

1 YES 205 1,662,932
2 NO 34,188 315,560,494
TOTAL 35,427 321,423,251
STAMA15 COVERED BY OTHER STATE PROG IN MAR15 2.0 NUM 1739 1740

1 YES 210 1,668,918
2 NO 34,251 315,523,269
TOTAL 35,427 321,423,251
STAAP15 COVERED BY OTHER STATE PROG IN APR15 2.0 NUM 1741 1742

1 YES 200 1,608,663
2 NO 34,348 315,625,924
TOTAL 35,427 321,423,251
STAMY15 COVERED BY OTHER STATE PROG IN MAY15 2.0 NUM 1743 1744

1 YES 201 1,583,076
2 NO 34,403 315,560,795
TOTAL 35,427 321,423,251
DATE: July 24, 2017
STAJU15 COVERED BY OTHER STATE PROG IN JUN15 2.0 NUM 1745 1746

1 YES 208 1,653,623
2 NO 34,484 315,674,519
TOTAL 35,427 321,423,251
STAJL15 COVERED BY OTHER STATE PROG IN JUL15 2.0 NUM 1747 1748

1 YES 225 1,778,270
2 NO 34,547 315,543,013
TOTAL 35,427 321,423,251
STAAU15 COVERED BY OTHER STATE PROG IN AUG15 2.0 NUM 1749 1750

1 YES 231 1,866,213
2 NO 34,631 315,590,113
TOTAL 35,427 321,423,251
STASE15 COVERED BY OTHER STATE PROG IN SEP15 2.0 NUM 1751 1752

1 YES 216 1,570,580
2 NO 34,706 315,906,714
TOTAL 35,427 321,423,251
DATE: July 24, 2017
STAOC15 COVERED BY OTHER STATE PROG IN OCT15 2.0 NUM 1753 1754

1 YES 209 1,507,852
2 NO 34,803 316,048,441
TOTAL 35,427 321,423,251
STANO15 COVERED BY OTHER STATE PROG IN NOV15 2.0 NUM 1755 1756

1 YES 210 1,505,716
2 NO 34,876 316,349,150
TOTAL 35,427 321,423,251
STADE15 COVERED BY OTHER STATE PROG IN DEC15 2.0 NUM 1757 1758

1 YES 208 1,488,582
2 NO 34,915 316,402,488
TOTAL 35,427 321,423,251
PUBJA15X COVR BY ANY PUBLIC INS IN JAN15 (ED) 2.0 NUM 1759 1760
-1 INAPPLICABLE 1,090 4,187,949

1 YES 14,227 111,190,683
2 NO 20,110 206,044,619
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PUBFE15X COVR BY ANY PUBLIC INS IN FEB15 (ED) 2.0 NUM 1761 1762
-1 INAPPLICABLE 1,034 4,199,824

1 YES 14,453 112,507,522
2 NO 19,940 204,715,905
TOTAL 35,427 321,423,251
PUBMA15X COVR BY ANY PUBLIC INS IN MAR15 (ED) 2.0 NUM 1763 1764

1 YES 14,615 113,437,930
2 NO 19,846 203,754,256
TOTAL 35,427 321,423,251
PUBAP15X COVR BY ANY PUBLIC INS IN APR15 (ED) 2.0 NUM 1765 1766

1 YES 14,680 113,918,612
2 NO 19,868 203,315,974
TOTAL 35,427 321,423,251
PUBMY15X COVR BY ANY PUBLIC INS IN MAY15 (ED) 2.0 NUM 1767 1768

1 YES 14,736 113,655,039
2 NO 19,868 203,488,832
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PUBJU15X COVR BY ANY PUBLIC INS IN JUN15 (ED) 2.0 NUM 1769 1770

1 YES 14,799 113,818,284
2 NO 19,893 203,509,858
TOTAL 35,427 321,423,251
PUBJL15X COVR BY ANY PUBLIC INS IN JUL15 (ED) 2.0 NUM 1771 1772

1 YES 14,988 114,711,731
2 NO 19,784 202,609,552
TOTAL 35,427 321,423,251
PUBAU15X COVR BY ANY PUBLIC INS IN AUG15 (ED) 2.0 NUM 1773 1774

1 YES 15,107 115,580,559
2 NO 19,755 201,875,767
TOTAL 35,427 321,423,251
PUBSE15X COVR BY ANY PUBLIC INS IN SEP15 (ED) 2.0 NUM 1775 1776

1 YES 15,104 115,521,018
2 NO 19,818 201,956,276
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PUBOC15X COVR BY ANY PUBLIC INS IN OCT15 (ED) 2.0 NUM 1777 1778

1 YES 15,109 115,603,594
2 NO 19,903 201,952,698
TOTAL 35,427 321,423,251
PUBNO15X COVR BY ANY PUBLIC INS IN NOV15 (ED) 2.0 NUM 1779 1780

1 YES 15,093 115,382,560
2 NO 19,993 202,472,307
TOTAL 35,427 321,423,251
PUBDE15X COVR BY ANY PUBLIC INS IN DEC15 (ED) 2.0 NUM 1781 1782

1 YES 15,108 115,291,232
2 NO 20,015 202,599,839
TOTAL 35,427 321,423,251
PEGJA15 COVERED BY EMPL UNION INS IN JAN15 2.0 NUM 1783 1784
-1 INAPPLICABLE 1,090 4,187,949

1 YES 13,836 162,483,205
2 NO 20,501 154,752,097
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PEGFE15 COVERED BY EMPL UNION INS IN FEB15 2.0 NUM 1785 1786
-1 INAPPLICABLE 1,034 4,199,824

1 YES 13,920 163,170,933
2 NO 20,473 154,052,493
TOTAL 35,427 321,423,251
PEGMA15 COVERED BY EMPL UNION INS IN MAR15 2.0 NUM 1787 1788

1 YES 14,018 164,292,343
2 NO 20,443 152,899,843
TOTAL 35,427 321,423,251
PEGAP15 COVERED BY EMPL UNION INS IN APR15 2.0 NUM 1789 1790

1 YES 14,040 164,429,762
2 NO 20,508 152,804,825
TOTAL 35,427 321,423,251
PEGMY15 COVERED BY EMPL UNION INS IN MAY15 2.0 NUM 1791 1792

1 YES 14,037 164,321,878
2 NO 20,567 152,821,994
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PEGJU15 COVERED BY EMPL UNION INS IN JUN15 2.0 NUM 1793 1794

1 YES 14,043 164,188,031
2 NO 20,649 153,140,111
TOTAL 35,427 321,423,251
PEGJL15 COVERED BY EMPL UNION INS IN JUL15 2.0 NUM 1795 1796

1 YES 14,103 164,406,031
2 NO 20,669 152,915,252
TOTAL 35,427 321,423,251
PEGAU15 COVERED BY EMPL UNION INS IN AUG15 2.0 NUM 1797 1798

1 YES 14,231 165,320,143
2 NO 20,631 152,136,183
TOTAL 35,427 321,423,251
PEGSE15 COVERED BY EMPL UNION INS IN SEP15 2.0 NUM 1799 1800

1 YES 14,268 165,507,111
2 NO 20,654 151,970,183
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PEGOC15 COVERED BY EMPL UNION INS IN OCT15 2.0 NUM 1801 1802

1 YES 14,272 164,644,193
2 NO 20,740 152,912,100
TOTAL 35,427 321,423,251
PEGNO15 COVERED BY EMPL UNION INS IN NOV15 2.0 NUM 1803 1804

1 YES 14,273 164,545,760
2 NO 20,813 153,309,107
TOTAL 35,427 321,423,251
PEGDE15 COVERED BY EMPL UNION INS IN DEC15 2.0 NUM 1805 1806

1 YES 14,242 164,228,787
2 NO 20,881 153,662,284
TOTAL 35,427 321,423,251
PDKJA15 COVR BY PRIV INS (SOURCE UNKNWN) JAN15 2.0 NUM 1807 1808
-1 INAPPLICABLE 1,090 4,187,949

1 YES 266 3,368,846
2 NO 34,071 313,866,456
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PDKFE15 COVR BY PRIV INS (SOURCE UNKNWN) FEB15 2.0 NUM 1809 1810
-1 INAPPLICABLE 1,034 4,199,824

1 YES 276 3,468,357
2 NO 34,117 313,755,069
TOTAL 35,427 321,423,251
PDKMA15 COVR BY PRIV INS (SOURCE UNKNWN) MAR15 2.0 NUM 1811 1812

1 YES 280 3,459,872
2 NO 34,181 313,732,314
TOTAL 35,427 321,423,251
PDKAP15 COVR BY PRIV INS (SOURCE UNKNWN) APR15 2.0 NUM 1813 1814

1 YES 288 3,498,770
2 NO 34,260 313,735,816
TOTAL 35,427 321,423,251
PDKMY15 COVR BY PRIV INS (SOURCE UNKNWN) MAY15 2.0 NUM 1815 1816

1 YES 290 3,521,851
2 NO 34,314 313,622,021
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PDKJU15 COVR BY PRIV INS (SOURCE UNKNWN) JUN15 2.0 NUM 1817 1818

1 YES 295 3,555,576
2 NO 34,397 313,772,566
TOTAL 35,427 321,423,251
PDKJL15 COVR BY PRIV INS (SOURCE UNKNWN) JUL15 2.0 NUM 1819 1820

1 YES 300 3,596,766
2 NO 34,472 313,724,517
TOTAL 35,427 321,423,251
PDKAU15 COVR BY PRIV INS (SOURCE UNKNWN) AUG15 2.0 NUM 1821 1822

1 YES 321 3,720,212
2 NO 34,541 313,736,114
TOTAL 35,427 321,423,251
PDKSE15 COVR BY PRIV INS (SOURCE UNKNWN) SEP15 2.0 NUM 1823 1824

1 YES 324 3,773,355
2 NO 34,598 313,703,939
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PDKOC15 COVR BY PRIV INS (SOURCE UNKNWN) OCT15 2.0 NUM 1825 1826

1 YES 327 3,849,994
2 NO 34,685 313,706,299
TOTAL 35,427 321,423,251
PDKNO15 COVR BY PRIV INS (SOURCE UNKNWN) NOV15 2.0 NUM 1827 1828

1 YES 323 3,808,633
2 NO 34,763 314,046,233
TOTAL 35,427 321,423,251
PDKDE15 COVR BY PRIV INS (SOURCE UNKNWN) DEC15 2.0 NUM 1829 1830

1 YES 314 3,660,728
2 NO 34,809 314,230,342
TOTAL 35,427 321,423,251
PNGJA15 COVERED BY NONGROUP INS IN JAN15 2.0 NUM 1831 1832
-1 INAPPLICABLE 1,090 4,187,949

1 YES 742 10,254,873
2 NO 33,595 306,980,429
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PNGFE15 COVERED BY NONGROUP INS IN FEB15 2.0 NUM 1833 1834
-1 INAPPLICABLE 1,034 4,199,824

1 YES 770 10,609,786
2 NO 33,623 306,613,641
TOTAL 35,427 321,423,251
PNGMA15 COVERED BY NONGROUP INS IN MAR15 2.0 NUM 1835 1836

1 YES 797 10,976,169
2 NO 33,664 306,216,017
TOTAL 35,427 321,423,251
PNGAP15 COVERED BY NONGROUP INS IN APR15 2.0 NUM 1837 1838

1 YES 811 11,180,758
2 NO 33,737 306,053,828
TOTAL 35,427 321,423,251
PNGMY15 COVERED BY NONGROUP INS IN MAY15 2.0 NUM 1839 1840

1 YES 830 11,420,958
2 NO 33,774 305,722,914
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PNGJU15 COVERED BY NONGROUP INS IN JUN15 2.0 NUM 1841 1842

1 YES 826 11,318,353
2 NO 33,866 306,009,789
TOTAL 35,427 321,423,251
PNGJL15 COVERED BY NONGROUP INS IN JUL15 2.0 NUM 1843 1844

1 YES 844 11,638,043
2 NO 33,928 305,683,240
TOTAL 35,427 321,423,251
PNGAU15 COVERED BY NONGROUP INS IN AUG15 2.0 NUM 1845 1846

1 YES 876 12,017,176
2 NO 33,986 305,439,150
TOTAL 35,427 321,423,251
PNGSE15 COVERED BY NONGROUP INS IN SEP15 2.0 NUM 1847 1848

1 YES 886 12,167,950
2 NO 34,036 305,309,344
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PNGOC15 COVERED BY NONGROUP INS IN OCT15 2.0 NUM 1849 1850

1 YES 861 11,856,328
2 NO 34,151 305,699,964
TOTAL 35,427 321,423,251
PNGNO15 COVERED BY NONGROUP INS IN NOV15 2.0 NUM 1851 1852

1 YES 853 11,836,675
2 NO 34,233 306,018,191
TOTAL 35,427 321,423,251
PNGDE15 COVERED BY NONGROUP INS IN DEC15 2.0 NUM 1853 1854

1 YES 852 11,883,448
2 NO 34,271 306,007,623
TOTAL 35,427 321,423,251
POGJA15 COVERED BY OTHER GROUP INS IN JAN15 2.0 NUM 1855 1856
-1 INAPPLICABLE 1,090 4,187,949

1 YES 237 3,083,737
2 NO 34,100 314,151,565
TOTAL 35,427 321,423,251
DATE: July 24, 2017
POGFE15 COVERED BY OTHER GROUP INS IN FEB15 2.0 NUM 1857 1858
-1 INAPPLICABLE 1,034 4,199,824

1 YES 240 3,124,701
2 NO 34,153 314,098,726
TOTAL 35,427 321,423,251
POGMA15 COVERED BY OTHER GROUP INS IN MAR15 2.0 NUM 1859 1860

1 YES 258 3,264,389
2 NO 34,203 313,927,798
TOTAL 35,427 321,423,251
POGAP15 COVERED BY OTHER GROUP INS IN APR15 2.0 NUM 1861 1862

1 YES 255 3,273,854
2 NO 34,293 313,960,732
TOTAL 35,427 321,423,251
POGMY15 COVERED BY OTHER GROUP INS IN MAY15 2.0 NUM 1863 1864

1 YES 257 3,276,996
2 NO 34,347 313,866,875
TOTAL 35,427 321,423,251
DATE: July 24, 2017
POGJU15 COVERED BY OTHER GROUP INS IN JUN15 2.0 NUM 1865 1866

1 YES 261 3,312,364
2 NO 34,431 314,015,778
TOTAL 35,427 321,423,251
POGJL15 COVERED BY OTHER GROUP INS IN JUL15 2.0 NUM 1867 1868

1 YES 268 3,366,894
2 NO 34,504 313,954,389
TOTAL 35,427 321,423,251
POGAU15 COVERED BY OTHER GROUP INS IN AUG15 2.0 NUM 1869 1870

1 YES 293 3,628,549
2 NO 34,569 313,827,777
TOTAL 35,427 321,423,251
POGSE15 COVERED BY OTHER GROUP INS IN SEP15 2.0 NUM 1871 1872

1 YES 308 3,830,810
2 NO 34,614 313,646,484
TOTAL 35,427 321,423,251
DATE: July 24, 2017
POGOC15 COVERED BY OTHER GROUP INS IN OCT15 2.0 NUM 1873 1874

1 YES 311 3,841,470
2 NO 34,701 313,714,822
TOTAL 35,427 321,423,251
POGNO15 COVERED BY OTHER GROUP INS IN NOV15 2.0 NUM 1875 1876

1 YES 310 3,864,990
2 NO 34,776 313,989,877
TOTAL 35,427 321,423,251
POGDE15 COVERED BY OTHER GROUP INS IN DEC15 2.0 NUM 1877 1878

1 YES 304 3,804,903
2 NO 34,819 314,086,167
TOTAL 35,427 321,423,251
PRSJA15 COVERED BY SELF-EMP-1 INS IN JAN15 2.0 NUM 1879 1880
-1 INAPPLICABLE 1,090 4,187,949

1 YES 46 575,795
2 NO 34,291 316,659,507
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PRSFE15 COVERED BY SELF-EMP-1 INS IN FEB15 2.0 NUM 1881 1882
-1 INAPPLICABLE 1,034 4,199,824

1 YES 46 575,795
2 NO 34,347 316,647,631
TOTAL 35,427 321,423,251
PRSMA15 COVERED BY SELF-EMP-1 INS IN MAR15 2.0 NUM 1883 1884

1 YES 48 600,436
2 NO 34,413 316,591,751
TOTAL 35,427 321,423,251
PRSAP15 COVERED BY SELF-EMP-1 INS IN APR15 2.0 NUM 1885 1886

1 YES 50 620,424
2 NO 34,498 316,614,162
TOTAL 35,427 321,423,251
PRSMY15 COVERED BY SELF-EMP-1 INS IN MAY15 2.0 NUM 1887 1888

1 YES 45 467,291
2 NO 34,559 316,676,580
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PRSJU15 COVERED BY SELF-EMP-1 INS IN JUN15 2.0 NUM 1889 1890

1 YES 45 467,291
2 NO 34,647 316,860,851
TOTAL 35,427 321,423,251
PRSJL15 COVERED BY SELF-EMP-1 INS IN JUL15 2.0 NUM 1891 1892

1 YES 46 477,493
2 NO 34,726 316,843,790
TOTAL 35,427 321,423,251
PRSAU15 COVERED BY SELF-EMP-1 INS IN AUG15 2.0 NUM 1893 1894

1 YES 47 531,887
2 NO 34,815 316,924,440
TOTAL 35,427 321,423,251
PRSSE15 COVERED BY SELF-EMP-1 INS IN SEP15 2.0 NUM 1895 1896

1 YES 49 555,466
2 NO 34,873 316,921,828
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PRSOC15 COVERED BY SELF-EMP-1 INS IN OCT15 2.0 NUM 1897 1898

1 YES 47 548,832
2 NO 34,965 317,007,461
TOTAL 35,427 321,423,251
PRSNO15 COVERED BY SELF-EMP-1 INS IN NOV15 2.0 NUM 1899 1900

1 YES 42 502,012
2 NO 35,044 317,352,855
TOTAL 35,427 321,423,251
PRSDE15 COVERED BY SELF-EMP-1 INS IN DEC15 2.0 NUM 1901 1902

1 YES 42 502,012
2 NO 35,081 317,389,059
TOTAL 35,427 321,423,251
POUJA15 COVERED BY HOLDER OUTSIDE OF RU IN JAN15 2.0 NUM 1903 1904
-1 INAPPLICABLE 1,090 4,187,949

1 YES 601 7,401,218
2 NO 33,736 309,834,084
TOTAL 35,427 321,423,251
DATE: July 24, 2017
POUFE15 COVERED BY HOLDER OUTSIDE OF RU IN FEB15 2.0 NUM 1905 1906
-1 INAPPLICABLE 1,034 4,199,824

1 YES 608 7,437,069
2 NO 33,785 309,786,357
TOTAL 35,427 321,423,251
POUMA15 COVERED BY HOLDER OUTSIDE OF RU IN MAR15 2.0 NUM 1907 1908

1 YES 619 7,598,267
2 NO 33,842 309,593,920
TOTAL 35,427 321,423,251
POUAP15 COVERED BY HOLDER OUTSIDE OF RU IN APR15 2.0 NUM 1909 1910

1 YES 621 7,607,097
2 NO 33,927 309,627,489
TOTAL 35,427 321,423,251
POUMY15 COVERED BY HOLDER OUTSIDE OF RU IN MAY15 2.0 NUM 1911 1912

1 YES 623 7,603,674
2 NO 33,981 309,540,197
TOTAL 35,427 321,423,251
DATE: July 24, 2017
POUJU15 COVERED BY HOLDER OUTSIDE OF RU IN JUN15 2.0 NUM 1913 1914

1 YES 617 7,531,844
2 NO 34,075 309,796,298
TOTAL 35,427 321,423,251
POUJL15 COVERED BY HOLDER OUTSIDE OF RU IN JUL15 2.0 NUM 1915 1916

1 YES 626 7,571,424
2 NO 34,146 309,749,859
TOTAL 35,427 321,423,251
POUAU15 COVERED BY HOLDER OUTSIDE OF RU IN AUG15 2.0 NUM 1917 1918

1 YES 614 7,423,836
2 NO 34,248 310,032,490
TOTAL 35,427 321,423,251
POUSE15 COVERED BY HOLDER OUTSIDE OF RU IN SEP15 2.0 NUM 1919 1920

1 YES 607 7,318,318
2 NO 34,315 310,158,976
TOTAL 35,427 321,423,251
DATE: July 24, 2017
POUOC15 COVERED BY HOLDER OUTSIDE OF RU IN OCT15 2.0 NUM 1921 1922

1 YES 607 7,281,950
2 NO 34,405 310,274,343
TOTAL 35,427 321,423,251
POUNO15 COVERED BY HOLDER OUTSIDE OF RU IN NOV15 2.0 NUM 1923 1924

1 YES 596 7,127,786
2 NO 34,490 310,727,081
TOTAL 35,427 321,423,251
POUDE15 COVERED BY HOLDER OUTSIDE OF RU IN DEC15 2.0 NUM 1925 1926

1 YES 592 7,124,232
2 NO 34,531 310,766,839
TOTAL 35,427 321,423,251
PRXJA15 COV BY PRIV INS THROUGH EXCHNG IN JAN15 2.0 NUM 1927 1928
-1 INAPPLICABLE 1,090 4,187,949

1 YES 720 6,985,594
2 NO 33,617 310,249,708
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PRXFE15 COV BY PRIV INS THROUGH EXCHNG IN FEB15 2.0 NUM 1929 1930
-1 INAPPLICABLE 1,034 4,199,824

1 YES 798 7,651,069
2 NO 33,595 309,572,358
TOTAL 35,427 321,423,251
PRXMA15 COV BY PRIV INS THROUGH EXCHNG IN MAR15 2.0 NUM 1931 1932

1 YES 853 8,072,576
2 NO 33,608 309,119,611
TOTAL 35,427 321,423,251
PRXAP15 COV BY PRIV INS THROUGH EXCHNG IN APR15 2.0 NUM 1933 1934

1 YES 849 8,013,608
2 NO 33,699 309,220,979
TOTAL 35,427 321,423,251
PRXMY15 COV BY PRIV INS THROUGH EXCHNG IN MAY15 2.0 NUM 1935 1936

1 YES 854 8,083,322
2 NO 33,750 309,060,549
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PRXJU15 COV BY PRIV INS THROUGH EXCHNG IN JUN15 2.0 NUM 1937 1938

1 YES 864 8,255,064
2 NO 33,828 309,073,078
TOTAL 35,427 321,423,251
PRXJL15 COV BY PRIV INS THROUGH EXCHNG IN JUL15 2.0 NUM 1939 1940

1 YES 885 8,397,776
2 NO 33,887 308,923,507
TOTAL 35,427 321,423,251
PRXAU15 COV BY PRIV INS THROUGH EXCHNG IN AUG15 2.0 NUM 1941 1942

1 YES 926 9,039,630
2 NO 33,936 308,416,696
TOTAL 35,427 321,423,251
PRXSE15 COV BY PRIV INS THROUGH EXCHNG IN SEP15 2.0 NUM 1943 1944

1 YES 977 9,465,546
2 NO 33,945 308,011,748
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PRXOC15 COV BY PRIV INS THROUGH EXCHNG IN OCT15 2.0 NUM 1945 1946

1 YES 988 9,640,878
2 NO 34,024 307,915,415
TOTAL 35,427 321,423,251
PRXNO15 COV BY PRIV INS THROUGH EXCHNG IN NOV15 2.0 NUM 1947 1948

1 YES 986 9,638,620
2 NO 34,100 308,216,247
TOTAL 35,427 321,423,251
PRXDE15 COV BY PRIV INS THROUGH EXCHNG IN DEC15 2.0 NUM 1949 1950

1 YES 991 9,646,186
2 NO 34,132 308,244,885
TOTAL 35,427 321,423,251
PRIJA15 COVERED BY PRIVATE INS IN JAN15 2.0 NUM 1951 1952
-1 INAPPLICABLE 1,090 4,187,949

1 YES 16,264 191,932,555
2 NO 18,073 125,302,747
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PRIFE15 COVERED BY PRIVATE INS IN FEB15 2.0 NUM 1953 1954
-1 INAPPLICABLE 1,034 4,199,824

1 YES 16,461 193,756,094
2 NO 17,932 123,467,333
TOTAL 35,427 321,423,251
PRIMA15 COVERED BY PRIVATE INS IN MAR15 2.0 NUM 1955 1956

1 YES 16,665 195,879,482
2 NO 17,796 121,312,705
TOTAL 35,427 321,423,251
PRIAP15 COVERED BY PRIVATE INS IN APR15 2.0 NUM 1957 1958

1 YES 16,704 196,164,424
2 NO 17,844 121,070,162
TOTAL 35,427 321,423,251
PRIMY15 COVERED BY PRIVATE INS IN MAY15 2.0 NUM 1959 1960

1 YES 16,723 196,224,325
2 NO 17,881 120,919,546
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PRIJU15 COVERED BY PRIVATE INS IN JUN15 2.0 NUM 1961 1962

1 YES 16,728 195,936,030
2 NO 17,964 121,392,112
TOTAL 35,427 321,423,251
PRIJL15 COVERED BY PRIVATE INS IN JUL15 2.0 NUM 1963 1964

1 YES 16,820 196,479,503
2 NO 17,952 120,841,780
TOTAL 35,427 321,423,251
PRIAU15 COVERED BY PRIVATE INS IN AUG15 2.0 NUM 1965 1966

1 YES 17,008 198,064,802
2 NO 17,854 119,391,524
TOTAL 35,427 321,423,251
PRISE15 COVERED BY PRIVATE INS IN SEP15 2.0 NUM 1967 1968

1 YES 17,104 198,915,952
2 NO 17,818 118,561,342
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PRIOC15 COVERED BY PRIVATE INS IN OCT15 2.0 NUM 1969 1970

1 YES 17,113 198,136,696
2 NO 17,899 119,419,597
TOTAL 35,427 321,423,251
PRINO15 COVERED BY PRIVATE INS IN NOV15 2.0 NUM 1971 1972

1 YES 17,083 197,645,998
2 NO 18,003 120,208,869
TOTAL 35,427 321,423,251
PRIDE15 COVERED BY PRIVATE INS IN DEC15 2.0 NUM 1973 1974

1 YES 17,044 197,176,881
2 NO 18,079 120,714,189
TOTAL 35,427 321,423,251
HPEJA15 HOLDER OF EMPL UNION INS IN JAN15 2.0 NUM 1975 1976
-1 INAPPLICABLE 1,090 4,187,949

1 YES 7,655 87,419,652
2 NO 26,682 229,815,650
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPEFE15 HOLDER OF EMPL UNION INS IN FEB15 2.0 NUM 1977 1978
-1 INAPPLICABLE 1,034 4,199,824

1 YES 7,700 87,858,209
2 NO 26,693 229,365,218
TOTAL 35,427 321,423,251
HPEMA15 HOLDER OF EMPL UNION INS IN MAR15 2.0 NUM 1979 1980

1 YES 7,755 88,340,508
2 NO 26,706 228,851,679
TOTAL 35,427 321,423,251
HPEAP15 HOLDER OF EMPL UNION INS IN APR15 2.0 NUM 1981 1982

1 YES 7,772 88,459,474
2 NO 26,776 228,775,113
TOTAL 35,427 321,423,251
HPEMY15 HOLDER OF EMPL UNION INS IN MAY15 2.0 NUM 1983 1984

1 YES 7,773 88,291,287
2 NO 26,831 228,852,585
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPEJU15 HOLDER OF EMPL UNION INS IN JUN15 2.0 NUM 1985 1986

1 YES 7,762 88,122,269
2 NO 26,930 229,205,874
TOTAL 35,427 321,423,251
HPEJL15 HOLDER OF EMPL UNION INS IN JUL15 2.0 NUM 1987 1988

1 YES 7,791 88,319,554
2 NO 26,981 229,001,729
TOTAL 35,427 321,423,251
HPEAU15 HOLDER OF EMPL UNION INS IN AUG15 2.0 NUM 1989 1990

1 YES 7,865 88,741,140
2 NO 26,997 228,715,187
TOTAL 35,427 321,423,251
HPESE15 HOLDER OF EMPL UNION INS IN SEP15 2.0 NUM 1991 1992

1 YES 7,897 88,847,079
2 NO 27,025 228,630,215
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPEOC15 HOLDER OF EMPL UNION INS IN OCT15 2.0 NUM 1993 1994

1 YES 7,914 88,513,788
2 NO 27,098 229,042,504
TOTAL 35,427 321,423,251
HPENO15 HOLDER OF EMPL UNION INS IN NOV15 2.0 NUM 1995 1996

1 YES 7,925 88,511,359
2 NO 27,161 229,343,508
TOTAL 35,427 321,423,251
HPEDE15 HOLDER OF EMPL UNION INS IN DEC15 2.0 NUM 1997 1998

1 YES 7,910 88,302,609
2 NO 27,213 229,588,461
TOTAL 35,427 321,423,251
HPDJA15 HOLDER OF PRIV INS (SOURCE UNKNWN) JAN15 2.0 NUM 1999 2000
-1 INAPPLICABLE 1,090 4,187,949

1 YES 185 2,313,457
2 NO 34,152 314,921,845
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPDFE15 HOLDER OF PRIV INS (SOURCE UNKNWN) FEB15 2.0 NUM 2001 2002
-1 INAPPLICABLE 1,034 4,199,824

1 YES 191 2,395,475
2 NO 34,202 314,827,951
TOTAL 35,427 321,423,251
HPDMA15 HOLDER OF PRIV INS (SOURCE UNKNWN) MAR15 2.0 NUM 2003 2004

1 YES 195 2,395,964
2 NO 34,266 314,796,222
TOTAL 35,427 321,423,251
HPDAP15 HOLDER OF PRIV INS (SOURCE UNKNWN) APR15 2.0 NUM 2005 2006

1 YES 200 2,440,098
2 NO 34,348 314,794,489
TOTAL 35,427 321,423,251
HPDMY15 HOLDER OF PRIV INS (SOURCE UNKNWN) MAY15 2.0 NUM 2007 2008

1 YES 202 2,463,178
2 NO 34,402 314,680,693
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPDJU15 HOLDER OF PRIV INS (SOURCE UNKNWN) JUN15 2.0 NUM 2009 2010

1 YES 204 2,487,536
2 NO 34,488 314,840,606
TOTAL 35,427 321,423,251
HPDJL15 HOLDER OF PRIV INS (SOURCE UNKNWN) JUL15 2.0 NUM 2011 2012

1 YES 210 2,555,123
2 NO 34,562 314,766,160
TOTAL 35,427 321,423,251
HPDAU15 HOLDER OF PRIV INS (SOURCE UNKNWN) AUG15 2.0 NUM 2013 2014

1 YES 225 2,636,617
2 NO 34,637 314,819,709
TOTAL 35,427 321,423,251
HPDSE15 HOLDER OF PRIV INS (SOURCE UNKNWN) SEP15 2.0 NUM 2015 2016

1 YES 230 2,679,762
2 NO 34,692 314,797,532
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPDOC15 HOLDER OF PRIV INS (SOURCE UNKNWN) OCT15 2.0 NUM 2017 2018

1 YES 232 2,683,395
2 NO 34,780 314,872,898
TOTAL 35,427 321,423,251
HPDNO15 HOLDER OF PRIV INS (SOURCE UNKNWN) NOV15 2.0 NUM 2019 2020

1 YES 232 2,679,100
2 NO 34,854 315,175,767
TOTAL 35,427 321,423,251
HPDDE15 HOLDER OF PRIV INS (SOURCE UNKNWN) DEC15 2.0 NUM 2021 2022

1 YES 230 2,618,715
2 NO 34,893 315,272,356
TOTAL 35,427 321,423,251
HPNJA15 HOLDER OF NONGROUP INS IN JAN15 2.0 NUM 2023 2024
-1 INAPPLICABLE 1,090 4,187,949

1 YES 573 7,661,053
2 NO 33,764 309,574,249
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPNFE15 HOLDER OF NONGROUP INS IN FEB15 2.0 NUM 2025 2026
-1 INAPPLICABLE 1,034 4,199,824

1 YES 603 8,088,254
2 NO 33,790 309,135,173
TOTAL 35,427 321,423,251
HPNMA15 HOLDER OF NONGROUP INS IN MAR15 2.0 NUM 2027 2028

1 YES 628 8,396,936
2 NO 33,833 308,795,251
TOTAL 35,427 321,423,251
HPNAP15 HOLDER OF NONGROUP INS IN APR15 2.0 NUM 2029 2030

1 YES 643 8,585,623
2 NO 33,905 308,648,963
TOTAL 35,427 321,423,251
HPNMY15 HOLDER OF NONGROUP INS IN MAY15 2.0 NUM 2031 2032

1 YES 658 8,818,377
2 NO 33,946 308,325,494
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPNJU15 HOLDER OF NONGROUP INS IN JUN15 2.0 NUM 2033 2034

1 YES 661 8,856,467
2 NO 34,031 308,471,675
TOTAL 35,427 321,423,251
HPNJL15 HOLDER OF NONGROUP INS IN JUL15 2.0 NUM 2035 2036

1 YES 675 9,081,384
2 NO 34,097 308,239,899
TOTAL 35,427 321,423,251
HPNAU15 HOLDER OF NONGROUP INS IN AUG15 2.0 NUM 2037 2038

1 YES 702 9,432,267
2 NO 34,160 308,024,060
TOTAL 35,427 321,423,251
HPNSE15 HOLDER OF NONGROUP INS IN SEP15 2.0 NUM 2039 2040

1 YES 710 9,484,341
2 NO 34,212 307,992,953
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPNOC15 HOLDER OF NONGROUP INS IN OCT15 2.0 NUM 2041 2042

1 YES 702 9,388,401
2 NO 34,310 308,167,892
TOTAL 35,427 321,423,251
HPNNO15 HOLDER OF NONGROUP INS IN NOV15 2.0 NUM 2043 2044

1 YES 690 9,279,892
2 NO 34,396 308,574,974
TOTAL 35,427 321,423,251
HPNDE15 HOLDER OF NONGROUP INS IN DEC15 2.0 NUM 2045 2046

1 YES 688 9,282,977
2 NO 34,435 308,608,093
TOTAL 35,427 321,423,251
HPOJA15 HOLDER OF OTHER GROUP INS IN JAN15 2.0 NUM 2047 2048
-1 INAPPLICABLE 1,090 4,187,949

1 YES 180 2,303,125
2 NO 34,157 314,932,177
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPOFE15 HOLDER OF OTHER GROUP INS IN FEB15 2.0 NUM 2049 2050
-1 INAPPLICABLE 1,034 4,199,824

1 YES 182 2,334,485
2 NO 34,211 314,888,942
TOTAL 35,427 321,423,251
HPOMA15 HOLDER OF OTHER GROUP INS IN MAR15 2.0 NUM 2051 2052

1 YES 195 2,444,834
2 NO 34,266 314,747,352
TOTAL 35,427 321,423,251
HPOAP15 HOLDER OF OTHER GROUP INS IN APR15 2.0 NUM 2053 2054

1 YES 195 2,464,547
2 NO 34,353 314,770,040
TOTAL 35,427 321,423,251
HPOMY15 HOLDER OF OTHER GROUP INS IN MAY15 2.0 NUM 2055 2056

1 YES 196 2,464,896
2 NO 34,408 314,678,975
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPOJU15 HOLDER OF OTHER GROUP INS IN JUN15 2.0 NUM 2057 2058

1 YES 199 2,482,647
2 NO 34,493 314,845,495
TOTAL 35,427 321,423,251
HPOJL15 HOLDER OF OTHER GROUP INS IN JUL15 2.0 NUM 2059 2060

1 YES 205 2,535,737
2 NO 34,567 314,785,546
TOTAL 35,427 321,423,251
HPOAU15 HOLDER OF OTHER GROUP INS IN AUG15 2.0 NUM 2061 2062

1 YES 229 2,771,701
2 NO 34,633 314,684,625
TOTAL 35,427 321,423,251
HPOSE15 HOLDER OF OTHER GROUP INS IN SEP15 2.0 NUM 2063 2064

1 YES 239 2,895,739
2 NO 34,683 314,581,555
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPOOC15 HOLDER OF OTHER GROUP INS IN OCT15 2.0 NUM 2065 2066

1 YES 240 2,888,997
2 NO 34,772 314,667,296
TOTAL 35,427 321,423,251
HPONO15 HOLDER OF OTHER GROUP INS IN NOV15 2.0 NUM 2067 2068

1 YES 241 2,944,288
2 NO 34,845 314,910,579
TOTAL 35,427 321,423,251
HPODE15 HOLDER OF OTHER GROUP INS IN DEC15 2.0 NUM 2069 2070

1 YES 238 2,908,130
2 NO 34,885 314,982,940
TOTAL 35,427 321,423,251
HPSJA15 HOLDER OF SELF-EMP-1 INS IN JAN15 2.0 NUM 2071 2072
-1 INAPPLICABLE 1,090 4,187,949

1 YES 23 241,067
2 NO 34,314 316,994,235
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPSFE15 HOLDER OF SELF-EMP-1 INS IN FEB15 2.0 NUM 2073 2074
-1 INAPPLICABLE 1,034 4,199,824

1 YES 23 241,067
2 NO 34,370 316,982,360
TOTAL 35,427 321,423,251
HPSMA15 HOLDER OF SELF-EMP-1 INS IN MAR15 2.0 NUM 2075 2076

1 YES 24 244,280
2 NO 34,437 316,947,906
TOTAL 35,427 321,423,251
HPSAP15 HOLDER OF SELF-EMP-1 INS IN APR15 2.0 NUM 2077 2078

1 YES 26 264,268
2 NO 34,522 316,970,318
TOTAL 35,427 321,423,251
HPSMY15 HOLDER OF SELF-EMP-1 INS IN MAY15 2.0 NUM 2079 2080

1 YES 25 222,480
2 NO 34,579 316,921,391
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPSJU15 HOLDER OF SELF-EMP-1 INS IN JUN15 2.0 NUM 2081 2082

1 YES 25 222,480
2 NO 34,667 317,105,662
TOTAL 35,427 321,423,251
HPSJL15 HOLDER OF SELF-EMP-1 INS IN JUL15 2.0 NUM 2083 2084

1 YES 26 232,683
2 NO 34,746 317,088,600
TOTAL 35,427 321,423,251
HPSAU15 HOLDER OF SELF-EMP-1 INS IN AUG15 2.0 NUM 2085 2086

1 YES 26 232,683
2 NO 34,836 317,223,644
TOTAL 35,427 321,423,251
HPSSE15 HOLDER OF SELF-EMP-1 INS IN SEP15 2.0 NUM 2087 2088

1 YES 27 243,990
2 NO 34,895 317,233,304
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPSOC15 HOLDER OF SELF-EMP-1 INS IN OCT15 2.0 NUM 2089 2090

1 YES 25 237,355
2 NO 34,987 317,318,937
TOTAL 35,427 321,423,251
HPSNO15 HOLDER OF SELF-EMP-1 INS IN NOV15 2.0 NUM 2091 2092

1 YES 23 217,543
2 NO 35,063 317,637,324
TOTAL 35,427 321,423,251
HPSDE15 HOLDER OF SELF-EMP-1 INS IN DEC15 2.0 NUM 2093 2094

1 YES 23 217,543
2 NO 35,100 317,673,528
TOTAL 35,427 321,423,251
HPXJA15 HOLDER OF PRIV INS THROUGH EXCH IN JAN15 2.0 NUM 2095 2096
-1 INAPPLICABLE 1,090 4,187,949

1 YES 541 5,202,332
2 NO 33,796 312,032,970
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPXFE15 HOLDER OF PRIV INS THROUGH EXCH IN FEB15 2.0 NUM 2097 2098
-1 INAPPLICABLE 1,034 4,199,824

1 YES 604 5,737,924
2 NO 33,789 311,485,503
TOTAL 35,427 321,423,251
HPXMA15 HOLDER OF PRIV INS THROUGH EXCH IN MAR15 2.0 NUM 2099 2100

1 YES 644 6,054,086
2 NO 33,817 311,138,100
TOTAL 35,427 321,423,251
HPXAP15 HOLDER OF PRIV INS THROUGH EXCH IN APR15 2.0 NUM 2101 2102

1 YES 642 6,026,305
2 NO 33,906 311,208,282
TOTAL 35,427 321,423,251
HPXMY15 HOLDER OF PRIV INS THROUGH EXCH IN MAY15 2.0 NUM 2103 2104

1 YES 643 6,072,838
2 NO 33,961 311,071,033
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPXJU15 HOLDER OF PRIV INS THROUGH EXCH IN JUN15 2.0 NUM 2105 2106

1 YES 649 6,196,868
2 NO 34,043 311,131,275
TOTAL 35,427 321,423,251
HPXJL15 HOLDER OF PRIV INS THROUGH EXCH IN JUL15 2.0 NUM 2107 2108

1 YES 659 6,202,010
2 NO 34,113 311,119,273
TOTAL 35,427 321,423,251
HPXAU15 HOLDER OF PRIV INS THROUGH EXCH IN AUG15 2.0 NUM 2109 2110

1 YES 686 6,629,606
2 NO 34,176 310,826,720
TOTAL 35,427 321,423,251
HPXSE15 HOLDER OF PRIV INS THROUGH EXCH IN SEP15 2.0 NUM 2111 2112

1 YES 716 6,845,896
2 NO 34,206 310,631,398
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPXOC15 HOLDER OF PRIV INS THROUGH EXCH IN OCT15 2.0 NUM 2113 2114

1 YES 718 6,931,119
2 NO 34,294 310,625,173
TOTAL 35,427 321,423,251
HPXNO15 HOLDER OF PRIV INS THROUGH EXCH IN NOV15 2.0 NUM 2115 2116

1 YES 715 6,926,131
2 NO 34,371 310,928,735
TOTAL 35,427 321,423,251
HPXDE15 HOLDER OF PRIV INS THROUGH EXCH IN DEC15 2.0 NUM 2117 2118

1 YES 719 6,920,481
2 NO 34,404 310,970,589
TOTAL 35,427 321,423,251
HPRJA15 HOLDER OF PRIVATE INSURANCE IN JAN15 2.0 NUM 2119 2120
-1 INAPPLICABLE 1,090 4,187,949

1 YES 9,093 104,336,013
2 NO 25,244 212,899,289
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPRFE15 HOLDER OF PRIVATE INSURANCE IN FEB15 2.0 NUM 2121 2122
-1 INAPPLICABLE 1,034 4,199,824

1 YES 9,234 105,775,158
2 NO 25,159 211,448,268
TOTAL 35,427 321,423,251
HPRMA15 HOLDER OF PRIVATE INSURANCE IN MAR15 2.0 NUM 2123 2124

1 YES 9,370 107,009,411
2 NO 25,091 210,182,775
TOTAL 35,427 321,423,251
HPRAP15 HOLDER OF PRIVATE INSURANCE IN APR15 2.0 NUM 2125 2126

1 YES 9,402 107,291,593
2 NO 25,146 209,942,993
TOTAL 35,427 321,423,251
HPRMY15 HOLDER OF PRIVATE INSURANCE IN MAY15 2.0 NUM 2127 2128

1 YES 9,424 107,457,801
2 NO 25,180 209,686,070
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPRJU15 HOLDER OF PRIVATE INSURANCE IN JUN15 2.0 NUM 2129 2130

1 YES 9,419 107,296,035
2 NO 25,273 210,032,107
TOTAL 35,427 321,423,251
HPRJL15 HOLDER OF PRIVATE INSURANCE IN JUL15 2.0 NUM 2131 2132

1 YES 9,475 107,763,222
2 NO 25,297 209,558,061
TOTAL 35,427 321,423,251
HPRAU15 HOLDER OF PRIVATE INSURANCE IN AUG15 2.0 NUM 2133 2134

1 YES 9,619 108,961,912
2 NO 25,243 208,494,414
TOTAL 35,427 321,423,251
HPRSE15 HOLDER OF PRIVATE INSURANCE IN SEP15 2.0 NUM 2135 2136

1 YES 9,695 109,467,532
2 NO 25,227 208,009,762
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HPROC15 HOLDER OF PRIVATE INSURANCE IN OCT15 2.0 NUM 2137 2138

1 YES 9,715 109,220,904
2 NO 25,297 208,335,388
TOTAL 35,427 321,423,251
HPRNO15 HOLDER OF PRIVATE INSURANCE IN NOV15 2.0 NUM 2139 2140

1 YES 9,719 109,163,692
2 NO 25,367 208,691,175
TOTAL 35,427 321,423,251
HPRDE15 HOLDER OF PRIVATE INSURANCE IN DEC15 2.0 NUM 2141 2142

1 YES 9,701 108,831,225
2 NO 25,422 209,059,845
TOTAL 35,427 321,423,251
INSJA15X COVR BY HOSP/MED INS IN JAN15 (ED) 2.0 NUM 2143 2144
-1 INAPPLICABLE 1,090 4,187,949

1 YES 28,306 275,693,619
2 NO 6,031 41,541,683
TOTAL 35,427 321,423,251
DATE: July 24, 2017
INSFE15X COVR BY HOSP/MED INS IN FEB15 (ED) 2.0 NUM 2145 2146
-1 INAPPLICABLE 1,034 4,199,824

1 YES 28,635 277,813,828
2 NO 5,758 39,409,598
TOTAL 35,427 321,423,251
INSMA15X COVR BY HOSP/MED INS IN MAR15 (ED) 2.0 NUM 2147 2148

1 YES 28,931 280,036,042
2 NO 5,530 37,156,145
TOTAL 35,427 321,423,251
INSAP15X COVR BY HOSP/MED INS IN APR15 (ED) 2.0 NUM 2149 2150

1 YES 29,049 281,007,504
2 NO 5,499 36,227,082
TOTAL 35,427 321,423,251
INSMY15X COVR BY HOSP/MED INS IN MAY15 (ED) 2.0 NUM 2151 2152

1 YES 29,108 280,707,380
2 NO 5,496 36,436,491
TOTAL 35,427 321,423,251
DATE: July 24, 2017
INSJU15X COVR BY HOSP/MED INS IN JUN15 (ED) 2.0 NUM 2153 2154

1 YES 29,169 280,581,135
2 NO 5,523 36,747,007
TOTAL 35,427 321,423,251
INSJL15X COVR BY HOSP/MED INS IN JUL15 (ED) 2.0 NUM 2155 2156

1 YES 29,367 281,329,233
2 NO 5,405 35,992,050
TOTAL 35,427 321,423,251
INSAU15X COVR BY HOSP/MED INS IN AUG15 (ED) 2.0 NUM 2157 2158

1 YES 29,576 282,745,780
2 NO 5,286 34,710,546
TOTAL 35,427 321,423,251
INSSE15X COVR BY HOSP/MED INS IN SEP15 (ED) 2.0 NUM 2159 2160

1 YES 29,665 283,454,363
2 NO 5,257 34,022,932
TOTAL 35,427 321,423,251
DATE: July 24, 2017
INSOC15X COVR BY HOSP/MED INS IN OCT15 (ED) 2.0 NUM 2161 2162

1 YES 29,652 282,299,512
2 NO 5,360 35,256,780
TOTAL 35,427 321,423,251
INSNO15X COVR BY HOSP/MED INS IN NOV15 (ED) 2.0 NUM 2163 2164

1 YES 29,641 282,038,725
2 NO 5,445 35,816,142
TOTAL 35,427 321,423,251
INSDE15X COVR BY HOSP/MED INS IN DEC15 (ED) 2.0 NUM 2165 2166

1 YES 29,625 281,634,279
2 NO 5,498 36,256,791
TOTAL 35,427 321,423,251
PRVEV15 EVER HAVE PRIVATE INSURANCE DURING 2015 1.0 NUM 2167 2167
1 YES 18,245 208,940,796

2 NO 17,182 112,482,455
TOTAL 35,427 321,423,251
DATE: July 24, 2017
TRIEV15 EVER HAVE TRICARE/CHAMPVA DURING 2015 1.0 NUM 2168 2168
1 YES 872 9,566,971

2 NO 34,555 311,856,280
TOTAL 35,427 321,423,251
MCREV15 EVER HAVE MEDICARE DURING 2015 (ED) 1.0 NUM 2169 2169
1 YES 5,334 56,851,410

2 NO 30,093 264,571,841
TOTAL 35,427 321,423,251
MCDEV15 EVER HAVE MCAID/SCHIP DURING 2015 (ED) 1.0 NUM 2170 2170
1 YES 11,606 70,033,668

2 NO 23,821 251,389,583
TOTAL 35,427 321,423,251
OPAEV15 EVER HAVE OTHER PUBLIC A INS DURING 2015 1.0 NUM 2171 2171
1 YES 158 1,486,196

2 NO 35,269 319,937,055
TOTAL 35,427 321,423,251
OPBEV15 EVER HAVE OTHER PUBLIC B INS DURING 2015 1.0 NUM 2172 2172
1 YES 374 3,820,512

2 NO 35,053 317,602,739
TOTAL 35,427 321,423,251
DATE: July 24, 2017
UNINS15 UNINSURED ALL OF 2015 1.0 NUM 2173 2173
1 YES 4,234 26,149,338

2 NO 31,193 295,273,913
TOTAL 35,427 321,423,251
INSCOV15 HEALTH INSURANCE COVERAGE INDICATOR 2015 1.0 NUM 2174 2174
1 ANY PRIVATE 18,777 214,446,396

2 PUBLIC ONLY 12,416 80,827,517
3 UNINSURED 4,234 26,149,338
TOTAL 35,427 321,423,251
INSURC15 FULL YEAR INSURANCE COVERAGE STATUS 2015 1.0 NUM 2175 2175
1 <65 ANY PRIVATE 16,744 187,012,025

2 <65 PUBLIC ONLY 10,012 58,936,674
3 <65 UNINSURED 4,190 25,881,216
4 65+ EDITED MEDICARE ONLY 1,555 16,426,682
5 65+ EDITED MEDICARE AND PRIVATE 1,991 26,928,799
6 65+ EDITED MEDICARE AND OTH PUB ONLY 849 5,464,162
7 65+ UNINSURED 44 268,121
8 65+ NO MEDICARE AND ANY PUBLIC/PRIVATE 42 505,572
TOTAL 35,427 321,423,251
TRIST31X COV BY TRICARE STANDARD-ANY TIME IN R3/1 2.0 NUM 2176 2177
-9 COV BY TRICR/CHAMV-TRI STANDARD NOT ASC 82 904,122

1 COV BY TRICARE STANDARD 139 1,674,853
2 COV BY TRICR/CHAMV-NOT TRICARE STANDARD 505 5,598,435
3 NOT COV BY TRICARE/CHAMPVA 33,704 309,669,845
TOTAL 35,427 321,423,251
DATE: July 24, 2017
TRIST42X COV BY TRICARE STANDARD-ANY TIME IN R4/2 2.0 NUM 2178 2179

TOTAL 35,427 321,423,251
TRIST15X CV BY TRICARE STANDARD-R5/3 TIL 12/31/15 2.0 NUM 2180 2181

TOTAL 35,427 321,423,251
TRIPR31X COV BY TRICARE PRIME - ANY TIME IN R3/1 2.0 NUM 2182 2183
-9 COV BY TRICR/CHAMV-TRI PRIME NOT ASC 82 904,122

1 COV BY TRICARE PRIME 251 2,626,170
2 COV BY TRICR/CHAMV-NOT TRICARE PRIME 393 4,647,118
TOTAL 35,427 321,423,251
DATE: July 24, 2017
TRIPR42X COV BY TRICARE PRIME - ANY TIME IN R4/2 2.0 NUM 2184 2185

TOTAL 35,427 321,423,251
TRIPR15X COV BY TRICARE PRIME-R5/3 UNTIL 12/31/15 2.0 NUM 2186 2187

TOTAL 35,427 321,423,251
TRIEX31X COV BY TRICARE EXTRA - ANY TIME IN R3/1 2.0 NUM 2188 2189
-9 COV BY TRICR/CHAMV-TRI EXTRA NOT ASC 82 904,122

1 COV BY TRICARE EXTRA 3 47,324
2 COV BY TRICR/CHAMV-NOT TRICARE EXTRA 641 7,225,964
TOTAL 35,427 321,423,251
DATE: July 24, 2017
TRIEX42X COV BY TRICARE EXTRA - ANY TIME IN R4/2 2.0 NUM 2190 2191

TOTAL 35,427 321,423,251
TRIEX15X COV BY TRICARE EXTRA - R5/3 TIL 12/31/15 2.0 NUM 2192 2193

TOTAL 35,427 321,423,251
TRILI31X COV BY TRICARE FOR LIFE-ANY TIME IN R3/1 2.0 NUM 2194 2195
-9 COV BY TRICR/CHAMV-TRI FOR LIFE NOT ASC 82 904,122

1 COV BY TRICARE FOR LIFE 188 2,332,912
2 COV BY TRICR/CHAMV-NOT TRICARE FOR LIFE 456 4,940,376
TOTAL 35,427 321,423,251
TRILI42X COV BY TRICARE FOR LIFE-ANY TIME IN R4/2 2.0 NUM 2196 2197

TOTAL 35,427 321,423,251
DATE: July 24, 2017
TRILI15X CV BY TRICARE FOR LIFE-R5/3 TIL 12/31/15 2.0 NUM 2198 2199

TOTAL 35,427 321,423,251
TRICH31X COVERED BY CHAMPVA - ANY TIME IN R3/1 2.0 NUM 2200 2201
-9 COV BY TRICR/CHAMV-CHAMPVA NOT ASC 82 904,122

1 COV BY CHAMPVA 90 883,657
2 COV BY TRICR/CHAMV-NOT CHAMPVA 554 6,389,631
TOTAL 35,427 321,423,251
TRICH42X COVERED BY CHAMPVA - ANY TIME IN R4/2 2.0 NUM 2202 2203

1 COV BY CHAMPVA 98 1,053,673
TOTAL 35,427 321,423,251
DATE: July 24, 2017
TRICH15X COVERED BY CHAMPVA - R5/3 UNTIL 12/31/15 2.0 NUM 2204 2205

1 COV BY CHAMPVA 106 1,145,432
TOTAL 35,427 321,423,251
MCRPD31 COV BY MEDICARE PMED BENEFIT - R3/1 2.0 NUM 2206 2207
-9 COV BY MEDICARE - PMED BENEFIT NOT ASC 479 4,405,145

1 COV BY MEDICARE PMED BENEFIT 2,588 26,718,171
2 COV BY MEDICARE - NOT PMED BENEFIT 1,899 22,168,688
3 NOT COV BY MEDICARE 29,464 264,555,252
TOTAL 35,427 321,423,251
MCRPD42 COV BY MEDICARE PMED BENEFIT - R4/2 2.0 NUM 2208 2209

TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCRPD15 COV BY MEDICARE PMED BENEFIT - 12/31/15 2.0 NUM 2210 2211

TOTAL 35,427 321,423,251
MCRPD31X COV BY MEDICARE PMED BENEFIT - R3/1 (ED) 2.0 NUM 2212 2213

TOTAL 35,427 321,423,251
MCRPD42X COV BY MEDICARE PMED BENEFIT - R4/2 (ED) 2.0 NUM 2214 2215

TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCRPD15X COV BY MCARE PMED BENEFIT-12/31/15 (ED) 2.0 NUM 2216 2217

TOTAL 35,427 321,423,251
MCRPB31 COV BY MEDICARE PART B - R3/1 2.0 NUM 2218 2219
-9 COV BY MEDICARE - PART B NOT ASC 443 3,987,576

1 COV BY MEDICARE PART B 4,179 45,182,644
2 COV BY MEDICARE - NOT PART B 344 4,121,784
TOTAL 35,427 321,423,251
MCRPB42 COV BY MEDICARE PART B - R4/2 2.0 NUM 2220 2221

TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCRPB15 COV BY MEDICARE PART B - 12/31/15 2.0 NUM 2222 2223

TOTAL 35,427 321,423,251
MCRPHO31 COV BY MEDICARE MANAGED CARE - R3/1 2.0 NUM 2224 2225
-9 COV BY MEDICARE - MANAGED CARE NOT ASC 547 5,185,232

1 COV BY MEDICARE MANAGED CARE 1,544 15,233,643
2 COV BY MEDICARE - NOT MANAGED CARE 2,875 32,873,129
TOTAL 35,427 321,423,251
MCRPHO42 COV BY MEDICARE MANAGED CARE - R4/2 2.0 NUM 2226 2227

TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCRPHO15 COV BY MEDICARE MANAGED CARE - 12/31/15 2.0 NUM 2228 2229

TOTAL 35,427 321,423,251
MCDHMO31 COV BY MCAID/SCHIP HMO -ANY TIME IN R3/1 2.0 NUM 2230 2231
-9 COV BY MCAID/SCHIP - HMO NOT ASCERTAINED 779 4,825,766

1 COV BY MEDICAID/SCHIP HMO 4,791 26,226,967
2 COV BY MEDICAID/SCHIP - NOT HMO 4,170 27,242,774
3 NOT COV BY MEDICAID/SCHIP 24,690 259,551,748
TOTAL 35,427 321,423,251
MCDHMO42 COV BY MCAID/SCHIP HMO -ANY TIME IN R4/2 2.0 NUM 2232 2233

TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCDHMO15 COV BY MCAID/SCHIP HMO-R5/3 TIL 12/31/15 2.0 NUM 2234 2235

TOTAL 35,427 321,423,251
MCDMC31 CV MCAID/CHIP GTKPR PLN-ANY TIME IN R3/1 2.0 NUM 2236 2237
-9 COV BY MCAID/SCHIP-GTKPR NOT ASCERTAINED 433 2,681,813

1 COV BY MEDICAID/SCHIP GATEKEEPER PLAN 1,549 10,006,439
2 COV BY MEDICAID/SCHIP - NOT GATEKEEPER 7,758 45,607,255
TOTAL 35,427 321,423,251
MCDMC42 CV MCAID/CHIP GTKPR PLN-ANY TIME IN R4/2 2.0 NUM 2238 2239

TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCDMC15 CV MCD/CHIP GTKPR PLN-R5/3 TIL 12/31/15 2.0 NUM 2240 2241

TOTAL 35,427 321,423,251
PRVHMO31 COVERED BY PRIVATE HMO-ANY TIME IN R3/1 2.0 NUM 2242 2243
-9 COV BY PRIVATE - HMO NOT ASCERTAINED 1,935 20,215,891

1 COV BY PRIVATE HMO 5,335 55,265,901
2 COV BY PRIVATE INS - NOT HMO 9,201 118,254,415
3 NOT COV BY PRIVATE INS 17,959 124,111,048
TOTAL 35,427 321,423,251
PRVHMO42 COVERED BY PRIVATE HMO-ANY TIME IN R4/2 2.0 NUM 2244 2245

TOTAL 35,427 321,423,251
DATE: July 24, 2017
PRVHMO15 COVERED BY PRIVATE HMO-R5/3 TIL 12/31/15 2.0 NUM 2246 2247

TOTAL 35,427 321,423,251
FSAGT31 ANYONE IN RU HAVE FSA - R3/1 2.0 NUM 2248 2249
-8 DK 631 6,143,839
-7 REFUSED 59 748,918
1 YES 2,831 35,211,381
2 NO 30,909 275,743,118
TOTAL 35,427 321,423,251
HASFSA31 PERSON IS FSA HOLDER - R3/1 2.0 NUM 2250 2251

-1 INAPPLICABLE 32,659 288,310,678
1 YES 1,211 15,213,677
2 NO 867 11,006,139
TOTAL 35,427 321,423,251
DATE: July 24, 2017
FSAAMT31 FSA TOTAL AMOUNT FOR RU - R3/1 8.2 NUM 2252 2259

-8 DK 374 4,430,245
-7 REFUSED 32 535,669
-1 INAPPLICABLE 31,906 279,319,113
0 89 1,151,301
$0.02 - $25,000.00 FSA AMOUNT 2,316 28,894,118
TOTAL 35,427 321,423,251
PROBPY42 FAMILY HAVING PROB PAYING MEDICAL BILLS 2.0 NUM 2260 2261

-8 DK 69 509,436
-7 REFUSED 31 275,592
1 YES 4,253 35,007,665
2 NO 30,569 283,105,378
TOTAL 35,427 321,423,251
CRFMPY42 FAMILY MED BILLS BEING PAID OVER TIME 2.0 NUM 2262 2263

-8 DK 157 1,110,807
-7 REFUSED 38 350,667
1 YES 6,335 60,567,260
2 NO 28,392 256,869,337
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PYUNBL42 UNABLE TO PAY FAMILY MEDICAL BILLS 2.0 NUM 2264 2265

-8 DK 105 1,024,496
-7 REFUSED 29 259,755
-1 INAPPLICABLE 31,073 285,625,388
1 YES 2,419 18,448,934
2 NO 1,799 16,054,177
TOTAL 35,427 321,423,251
PREVCOVR PER COV BY INS IN PREV 2 YRS-PNL 20 ONLY 2.0 NUM 2266 2267

-8 DK 176 1,173,891
-7 REFUSED 55 563,005
-1 INAPPLICABLE 32,054 297,616,003
1 YES 728 6,276,925
2 NO 2,351 15,442,887
TOTAL 35,427 321,423,251
COVRMM MONTH MOST RECENTLY COVERED-PNL 20 ONLY 2.0 NUM 2268 2269

-8 DK 109 870,816
-7 REFUSED 3 41,844
-1 INAPPLICABLE 34,699 315,146,326
1 - 12 MONTH 606 5,250,282
TOTAL 35,427 321,423,251
DATE: July 24, 2017
COVRYY YEAR MOST RECENTLY COVERED-PANEL 20 ONLY 4.0 NUM 2270 2273

-8 DK 70 614,425
-7 REFUSED 3 51,382
-1 INAPPLICABLE 34,699 315,146,326
2013 - 2014 YEAR MOST RECENTLY COVERED 650 5,540,561
TOTAL 35,427 321,423,251
WASESTB WAS PREV INS BY EMPL OR UNION-PN 20 ONLY 2.0 NUM 2274 2275

-8 DK 24 185,937
-7 REFUSED 3 23,610
-1 INAPPLICABLE 34,676 314,966,859
1 YES 268 2,707,885
2 NO 453 3,518,350
TOTAL 35,427 321,423,251
WASMCARE WAS PREV INS BY MEDICARE-PANEL 20 ONLY 2.0 NUM 2276 2277

-8 DK 24 185,937
-7 REFUSED 3 23,610
-1 INAPPLICABLE 34,676 314,966,859
1 YES 12 147,947
2 NO 709 6,078,288
TOTAL 35,427 321,423,251
DATE: July 24, 2017
WASMCAID WAS PREV INS BY MCAID/SCHIP-PNL 20 ONLY 2.0 NUM 2278 2279

-8 DK 24 185,937
-7 REFUSED 3 23,610
-1 INAPPLICABLE 34,676 314,966,859
1 YES 224 1,457,384
2 NO 497 4,768,851
TOTAL 35,427 321,423,251
WASCHAMP WAS PREV INS TRICARE/CHAMPVA-PNL 20 ONLY 2.0 NUM 2280 2281

-8 DK 24 185,937
-7 REFUSED 3 23,610
-1 INAPPLICABLE 34,676 314,966,859
1 YES 11 77,594
2 NO 710 6,148,641
TOTAL 35,427 321,423,251
WASVA WAS PREV INS VA/MILITAR CARE-PNL 20 ONLY 2.0 NUM 2282 2283

-8 DK 24 185,937
-7 REFUSED 3 23,610
-1 INAPPLICABLE 34,676 314,966,859
1 YES 13 137,003
2 NO 708 6,089,232
TOTAL 35,427 321,423,251
DATE: July 24, 2017
WASPRIV WAS PREV INS GRP/ASSOC/INS CO-PN 20 ONLY 2.0 NUM 2284 2285

-8 DK 24 185,937
-7 REFUSED 3 23,610
-1 INAPPLICABLE 34,676 314,966,859
1 YES 62 682,272
2 NO 659 5,543,962
TOTAL 35,427 321,423,251
WASOTGOV WAS PREV INS BY OTH GOV PRG-PNL 20 ONLY 2.0 NUM 2286 2287

-8 DK 24 185,937
-7 REFUSED 3 23,610
-1 INAPPLICABLE 34,676 314,966,859
1 YES 63 377,654
2 NO 658 5,848,580
TOTAL 35,427 321,423,251
WASAFDC WAS PREV INS BY PUBLIC AFDC-PNL 20 ONLY 2.0 NUM 2288 2289

-8 DK 24 185,937
-7 REFUSED 3 23,610
-1 INAPPLICABLE 34,676 314,966,859
2 NO 721 6,226,235
TOTAL 35,427 321,423,251
DATE: July 24, 2017
WASSSI WAS PREV INS BY SSI PROGRAM-PNL 20 ONLY 2.0 NUM 2290 2291

-8 DK 24 185,937
-7 REFUSED 3 23,610
-1 INAPPLICABLE 34,676 314,966,859
2 NO 721 6,226,235
TOTAL 35,427 321,423,251
WASSTAT1 WAS PREV INS BY STAT PROG 1-PNL 20 ONLY 2.0 NUM 2292 2293

-8 DK 24 185,937
-7 REFUSED 3 23,610
-1 INAPPLICABLE 34,676 314,966,859
2 NO 721 6,226,235
TOTAL 35,427 321,423,251

-8 DK 24 185,937
-7 REFUSED 3 23,610
-1 INAPPLICABLE 34,676 314,966,859
2 NO 721 6,226,235
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-8 DK 24 185,937
-7 REFUSED 3 23,610
-1 INAPPLICABLE 34,676 314,966,859
2 NO 721 6,226,235
TOTAL 35,427 321,423,251

-8 DK 24 185,937
-7 REFUSED 3 23,610
-1 INAPPLICABLE 34,676 314,966,859
2 NO 721 6,226,235
TOTAL 35,427 321,423,251
WASOTHER WAS PREV INS BY OTH SOURCE-PANEL 20 ONLY 2.0 NUM 2300 2301

-8 DK 24 185,937
-7 REFUSED 3 23,610
-1 INAPPLICABLE 34,676 314,966,859
1 YES 88 818,543
2 NO 633 5,407,692
TOTAL 35,427 321,423,251
DATE: July 24, 2017
NOINSBEF EVR WOUT HLTH INSR PREV YR-PANEL 20 ONLY 2.0 NUM 2302 2303

-8 DK 60 513,640
-7 REFUSED 9 49,230
-1 INAPPLICABLE 20,783 175,267,416
1 YES 738 6,024,420
2 NO 13,506 136,581,346
TOTAL 35,427 321,423,251
NOINSTM # WKS/MON WOUT HLTH INS PRV YR-P20 ONLY 2.0 NUM 2304 2305

-8 DK 15 118,012
-7 REFUSED 1 5,372
-1 INAPPLICABLE 34,689 315,398,831
0 10 69,907
1 - 52 711 5,827,709
TOTAL 35,427 321,423,251
NOINUNIT UNIT OF TIME WOUT HLTH INS-PANEL 20 ONLY 2.0 NUM 2306 2307
-1 INAPPLICABLE 34,716 315,595,542

1 WEEKS 94 795,200
2 MONTHS 617 5,032,509
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MORECOVR COV BY MOR COMPR PL PREV 2 YR-PN 20 ONLY 2.0 NUM 2308 2309

-8 DK 47 370,998
-7 REFUSED 1 6,137
-1 INAPPLICABLE 35,230 319,660,961
1 YES 23 179,467
2 NO 121 1,120,527
TOTAL 35,427 321,423,251
INSENDMM MONTH MOST RECENTLY COVD-PANEL 20 ONLY 2.0 NUM 2310 2311
-8 DK 12 107,766
-1 INAPPLICABLE 35,404 321,243,784
1 - 12 MONTH 11 71,700
TOTAL 35,427 321,423,251
INSENDYY YEAR MOST RECENTLY COVD-PANEL 20 ONLY 4.0 NUM 2312 2315
-8 DK 10 90,331
-1 INAPPLICABLE 35,404 321,243,784
2013 - 2014 YEAR MOST RECENTLY COVERED 13 89,135
TOTAL 35,427 321,423,251
TRICR31X COV BY TRICR/CHAMV - R3/1 INT DT (ED) 2.0 NUM 2316 2317

1 YES 725 8,163,304
2 NO 33,705 309,683,952
TOTAL 35,427 321,423,251
DATE: July 24, 2017
TRICR42X COV BY TRICR/CHAMV - R4/2 INT DT (ED) 2.0 NUM 2318 2319

1 YES 766 8,538,184
2 NO 34,157 310,365,058
TOTAL 35,427 321,423,251
TRICR53X COV BY TRICR/CHAMV 12-31/R3 INT DT (ED) 2.0 NUM 2320 2321

1 YES 802 8,732,000
2 NO 34,390 309,847,741
TOTAL 35,427 321,423,251
TRICR15X COV BY TRICR/CHAMV - 12/31/15 (ED) 2.0 NUM 2322 2323

1 YES 802 8,712,787
2 NO 34,390 309,866,953
TOTAL 35,427 321,423,251
TRIAT31X COV TRICARE/CHAMPVA - ANY TIME IN R3/1 2.0 NUM 2324 2325

1 YES 726 8,177,410
2 NO 33,704 309,669,845
TOTAL 35,427 321,423,251
DATE: July 24, 2017

1 YES 778 8,744,690
2 NO 34,145 310,158,552
TOTAL 35,427 321,423,251

1 YES 804 8,736,447
2 NO 34,388 309,843,294
TOTAL 35,427 321,423,251
TRIAT15X COV TRICARE/CHAMPVA-R5/3 UNTIL 12/31/15 2.0 NUM 2330 2331

1 YES 802 8,712,787
2 NO 34,390 309,866,953
TOTAL 35,427 321,423,251
MCAID31 COV BY MEDICAID OR SCHIP - R3/1 INT DT 2.0 NUM 2332 2333

1 YES 9,484 56,713,332
2 NO 24,946 261,133,923
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCAID42 COV BY MEDICAID OR SCHIP - R4/2 INT DT 2.0 NUM 2334 2335

1 YES 10,120 59,547,329
2 NO 24,803 259,355,913
TOTAL 35,427 321,423,251
MCAID53 COV BY MEDICAID OR SCHIP 12-31/R3 INT DT 2.0 NUM 2336 2337

1 YES 10,146 59,579,117
2 NO 25,046 259,000,624
TOTAL 35,427 321,423,251
MCAID15 COV BY MEDICAID OR SCHIP - 12/31/15 2.0 NUM 2338 2339

1 YES 10,167 59,578,056
2 NO 25,025 259,001,685
TOTAL 35,427 321,423,251
MCAID31X COV BY MEDICAID/SCHIP - R3/1 INT DT (ED) 2.0 NUM 2340 2341

1 YES 9,626 57,617,349
2 NO 24,804 260,229,906
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCAID42X COV BY MEDICAID/SCHIP - R4/2 INT DT (ED) 2.0 NUM 2342 2343

1 YES 10,281 60,553,969
2 NO 24,642 258,349,273
TOTAL 35,427 321,423,251
MCAID53X COV MEDICAID/SCHIP 12-31/R3 INT DT(ED) 2.0 NUM 2344 2345

1 YES 10,373 60,975,588
2 NO 24,819 257,604,153
TOTAL 35,427 321,423,251
MCAID15X COV BY MEDICAID OR SCHIP - 12/31/15 (ED) 2.0 NUM 2346 2347

1 YES 10,386 60,892,630
2 NO 24,806 257,687,110
TOTAL 35,427 321,423,251
MCARE31 COV BY MEDICARE - R3/1 INT DT 2.0 NUM 2348 2349

1 YES 4,744 51,214,357
2 NO 29,686 266,632,899
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCARE42 COV BY MEDICARE - R4/2 INT DT 2.0 NUM 2350 2351

1 YES 5,001 53,426,873
2 NO 29,922 265,476,368
TOTAL 35,427 321,423,251
MCARE53 COV BY MEDICARE 12-31/R3 INT DT 2.0 NUM 2352 2353

1 YES 5,121 54,327,584
2 NO 30,071 264,252,157
TOTAL 35,427 321,423,251
MCARE15 COV BY MEDICARE - 12/31/15 2.0 NUM 2354 2355

1 YES 5,099 54,059,149
2 NO 30,093 264,520,592
TOTAL 35,427 321,423,251
MCARE31X COV BY MEDICARE - R3/1 INT DT (ED) 2.0 NUM 2356 2357

1 YES 4,966 53,292,004
2 NO 29,464 264,555,252
TOTAL 35,427 321,423,251
DATE: July 24, 2017
MCARE42X COV BY MEDICARE - R4/2 INT DT (ED) 2.0 NUM 2358 2359

1 YES 5,134 54,661,029
2 NO 29,789 264,242,213
TOTAL 35,427 321,423,251
MCARE53X COV BY MEDICARE 12-31/R3 INT DT (ED) 2.0 NUM 2360 2361

1 YES 5,239 55,349,002
2 NO 29,953 263,230,739
TOTAL 35,427 321,423,251
MCARE15X COV BY MEDICARE - 12/31/15 (ED) 2.0 NUM 2362 2363

1 YES 5,219 55,120,776
2 NO 29,973 263,458,964
TOTAL 35,427 321,423,251
MCDAT31X COV MEDICAID OR SCHIP - ANY TIME IN R3/1 2.0 NUM 2364 2365

1 YES 9,740 58,295,507
2 NO 24,690 259,551,748
TOTAL 35,427 321,423,251
DATE: July 24, 2017

1 YES 10,524 62,676,289
2 NO 24,399 256,226,953
TOTAL 35,427 321,423,251

1 YES 10,658 63,079,485
2 NO 24,534 255,500,256
TOTAL 35,427 321,423,251
MCDAT15X CV MCD/CHIP-ANY TME IN R5/3 TIL 12/31/15 2.0 NUM 2370 2371

1 YES 10,587 62,474,970
2 NO 24,605 256,104,771
TOTAL 35,427 321,423,251
OTPAAT31 COV OT GOV MCD/CHIP HMO-ANY TIME IN R3/1 2.0 NUM 2372 2373

1 YES 76 801,080
2 NO 34,354 317,046,175
TOTAL 35,427 321,423,251
DATE: July 24, 2017

1 YES 95 873,801
2 NO 34,828 318,029,441
TOTAL 35,427 321,423,251

1 YES 99 855,612
2 NO 35,093 317,724,128
TOTAL 35,427 321,423,251
OTPAAT15 CV OT GOV MCD/CHIP HMO-R5/3 TIL 12/31/15 2.0 NUM 2378 2379

1 YES 91 811,356
2 NO 35,101 317,768,384
TOTAL 35,427 321,423,251
OTPBAT31 CV OTGV NT MCD/CHIP HMO-ANY TIME IN R3/1 2.0 NUM 2380 2381

1 YES 206 2,214,793
2 NO 34,224 315,632,463
TOTAL 35,427 321,423,251
DATE: July 24, 2017

1 YES 235 2,402,272
2 NO 34,688 316,500,970
TOTAL 35,427 321,423,251

1 YES 274 2,740,974
2 NO 34,918 315,838,767
TOTAL 35,427 321,423,251
OTPBAT15 CV OTGV NT MCD/CHP HMO-R5/3 TIL 12/31/15 2.0 NUM 2386 2387

1 YES 272 2,719,780
2 NO 34,920 315,859,961
TOTAL 35,427 321,423,251
OTPUBA31 COV/PAY OTH GOV MCAID/SCHIP HMO-R3/1 INT 2.0 NUM 2388 2389

1 YES 74 787,626
2 NO 34,356 317,059,630
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OTPUBA42 COV/PAY OTH GOV MCAID/SCHIP HMO-R4/2 INT 2.0 NUM 2390 2391

1 YES 88 756,486
2 NO 34,835 318,146,756
TOTAL 35,427 321,423,251
OTPUBA53 COV/PAY OTH GOV MCAID/SCHIP HMO 12-31/R3 2.0 NUM 2392 2393

1 YES 95 826,837
2 NO 35,097 317,752,903
TOTAL 35,427 321,423,251
OTPUBA15 COV/PAY OTH GOV MCAID/SCHIP HMO-12/31/15 2.0 NUM 2394 2395

1 YES 89 803,013
2 NO 35,103 317,776,727
TOTAL 35,427 321,423,251
OTPUBB31 COV OTH GOV NOT MCAID/SCHIP HMO-R3/1 INT 2.0 NUM 2396 2397

1 YES 196 2,092,644
2 NO 34,234 315,754,612
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OTPUBB42 COV OTH GOV NOT MCAID/SCHIP HMO-R4/2 INT 2.0 NUM 2398 2399

1 YES 218 2,214,696
2 NO 34,705 316,688,545
TOTAL 35,427 321,423,251
OTPUBB53 COV OTH GOV NOT MCAID/SCHIP HMO 12-31/R3 2.0 NUM 2400 2401

1 YES 265 2,664,643
2 NO 34,927 315,915,098
TOTAL 35,427 321,423,251
OTPUBB15 COV OTH GOV NOT MCAID/SCHIP HMO-12/31/15 2.0 NUM 2402 2403

1 YES 269 2,709,641
2 NO 34,923 315,870,100
TOTAL 35,427 321,423,251
PRIDK31 COV BY PRIV INS (DK PLAN) - R3/1 INT 2.0 NUM 2404 2405

1 YES 254 3,250,537
2 NO 34,176 314,596,718
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PRIDK42 COV BY PRIV INS (DK PLAN) - R4/2 INT 2.0 NUM 2406 2407

1 YES 276 3,439,606
2 NO 34,647 315,463,636
TOTAL 35,427 321,423,251
PRIDK53 COV BY PRIV INS (DK PLAN) 12-31/R3 INT 2.0 NUM 2408 2409

1 YES 298 3,423,665
2 NO 34,894 315,156,075
TOTAL 35,427 321,423,251
PRIDK15 COV BY PRIV INS (DK PLAN) - 12/31/15 2.0 NUM 2410 2411

1 YES 308 3,532,118
2 NO 34,884 315,047,623
TOTAL 35,427 321,423,251
PRIEU31 COV BY EMPL/UNION GRP INS - R3/1 INT DT 2.0 NUM 2412 2413

1 YES 13,796 162,347,174
2 NO 20,634 155,500,081
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PRIEU42 COV BY EMPL/UNION GRP INS - R4/2 INT DT 2.0 NUM 2414 2415

1 YES 13,953 163,055,356
2 NO 20,970 155,847,886
TOTAL 35,427 321,423,251
PRIEU53 COV BY EMPL/UNION GRP INS 12-31/R3 INT 2.0 NUM 2416 2417

1 YES 14,134 163,320,677
2 NO 21,058 155,259,064
TOTAL 35,427 321,423,251
PRIEU15 COV BY EMPL/UNION GRP INS - 12/31/15 2.0 NUM 2418 2419

1 YES 14,144 163,432,628
2 NO 21,048 155,147,113
TOTAL 35,427 321,423,251
PRING31 COV BY NON-GROUP INS - R3/1 INT DT 2.0 NUM 2420 2421

1 YES 724 10,026,372
2 NO 33,706 307,820,883
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PRING42 COV BY NON-GROUP INS - R4/2 INT DT 2.0 NUM 2422 2423

1 YES 809 11,192,900
2 NO 34,114 307,710,342
TOTAL 35,427 321,423,251
PRING53 COV BY NON-GROUP INS 12-31/R3 INT DT 2.0 NUM 2424 2425

1 YES 826 11,353,248
2 NO 34,366 307,226,493
TOTAL 35,427 321,423,251
PRING15 COV BY NON-GROUP INS - 12/31/15 2.0 NUM 2426 2427

1 YES 846 11,793,731
2 NO 34,346 306,786,010
TOTAL 35,427 321,423,251
PRIOG31 COV BY OTHER GROUP INS - R3/1 INT DT 2.0 NUM 2428 2429

1 YES 225 2,916,269
2 NO 34,205 314,930,987
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PRIOG42 COV BY OTHER GROUP INS - R4/2 INT DT 2.0 NUM 2430 2431

1 YES 256 3,317,371
2 NO 34,667 315,585,871
TOTAL 35,427 321,423,251
PRIOG53 COV BY OTHER GROUP INS 12-31/R3 INT DT 2.0 NUM 2432 2433

1 YES 276 3,497,069
2 NO 34,916 315,082,672
TOTAL 35,427 321,423,251
PRIOG15 COV BY OTHER GROUP INS - 12/31/15 2.0 NUM 2434 2435

1 YES 290 3,626,640
2 NO 34,902 314,953,101
TOTAL 35,427 321,423,251
PRIS31 COV BY SELF-EMP-1 INS - R3/1 INT DT 2.0 NUM 2436 2437

1 YES 43 429,242
2 NO 34,387 317,418,013
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PRIS42 COV BY SELF-EMP-1 INS - R4/2 INT DT 2.0 NUM 2438 2439

1 YES 40 478,926
2 NO 34,883 318,424,316
TOTAL 35,427 321,423,251
PRIS53 COV BY SELF-EMP-1 INS 12-31/R3 INT DT 2.0 NUM 2440 2441

1 YES 44 521,718
2 NO 35,148 318,058,023
TOTAL 35,427 321,423,251
PRIS15 COV BY SELF-EMP-1 INS - 12/31/15 2.0 NUM 2442 2443

1 YES 43 512,325
2 NO 35,149 318,067,416
TOTAL 35,427 321,423,251
PROUT31 COV BY SOMEONE OUT OF RU - R3/1 INT 2.0 NUM 2444 2445

1 YES 584 7,156,500
2 NO 33,846 310,690,755
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PROUT42 COV BY SOMEONE OUT OF RU - R4/2 INT 2.0 NUM 2446 2447

1 YES 572 6,956,138
2 NO 34,351 311,947,103
TOTAL 35,427 321,423,251
PROUT53 COV BY SOMEONE OUT OF RU 12-31/R3 INT DT 2.0 NUM 2448 2449

1 YES 571 6,746,954
2 NO 34,621 311,832,786
TOTAL 35,427 321,423,251
PROUT15 COV BY SOMEONE OUT OF RU - 12/31/15 2.0 NUM 2450 2451

1 YES 583 6,943,240
2 NO 34,609 311,636,501
TOTAL 35,427 321,423,251
PRSTX31 COV BY PRIV EXCHANGE INS -R3/1 INT DT 2.0 NUM 2452 2453

1 YES 768 7,323,094
2 NO 33,662 310,524,161
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PRSTX42 COV BY PRIV EXCHANGE INS -R4/2 INT DT 2.0 NUM 2454 2455

1 YES 842 8,097,253
2 NO 34,081 310,805,989
TOTAL 35,427 321,423,251
PRSTX53 PRIV EXCHANGE INS ON 12-31 R5/R3 INT DT 2.0 NUM 2456 2457

1 YES 999 9,747,603
2 NO 34,193 308,832,138
TOTAL 35,427 321,423,251
PRSTX15 PRIV EXCHANGE INSURANCE ON 12/31/15 2.0 NUM 2458 2459

1 YES 965 9,314,516
2 NO 34,227 309,265,224
TOTAL 35,427 321,423,251
PRIV31 COV BY PRIV HLTH INS - R3/1 INT DATE 2.0 NUM 2460 2461

1 YES 16,256 191,737,772
2 NO 18,174 126,109,484
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PRIV42 COV BY PRIV HLTH INS - R4/2 INT DATE 2.0 NUM 2462 2463

1 YES 16,575 194,395,537
2 NO 18,348 124,507,705
TOTAL 35,427 321,423,251
PRIV53 COV BY PRIV HLTH INS 12-31/R3 INT DATE 2.0 NUM 2464 2465

1 YES 16,912 195,732,881
2 NO 18,280 122,846,860
TOTAL 35,427 321,423,251
PRIV15 COV BY PRIV HLTH INS - 12/31/15 2.0 NUM 2466 2467

1 YES 16,916 195,887,169
2 NO 18,276 122,692,572
TOTAL 35,427 321,423,251
PRIVAT31 COV BY PRIVATE INS - ANY TIME IN R3/1 2.0 NUM 2468 2469

1 YES 16,471 193,736,208
2 NO 17,959 124,111,048
TOTAL 35,427 321,423,251
DATE: July 24, 2017

1 YES 17,334 201,536,063
2 NO 17,589 117,367,179
TOTAL 35,427 321,423,251

1 YES 17,667 203,329,702
2 NO 17,525 115,250,039
TOTAL 35,427 321,423,251
PRIVAT15 COV BY PRIVATE INS - R5/3 UNTIL 12/31/15 2.0 NUM 2474 2475

1 YES 17,454 201,571,548
2 NO 17,738 117,008,193
TOTAL 35,427 321,423,251
PUB31X COV BY PUBLIC INS - R3/1 INT DT (ED) 2.0 NUM 2476 2477

1 YES 14,174 110,832,391
2 NO 20,256 207,014,865
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PUB42X COV BY PUBLIC INS - R4/2 INT DT (ED) 2.0 NUM 2478 2479

1 YES 14,919 114,458,959
2 NO 20,004 204,444,283
TOTAL 35,427 321,423,251
PUB53X COV BY PUBLIC INS 12-31/R3 INT DT (ED) 2.0 NUM 2480 2481

1 YES 15,129 115,831,549
2 NO 20,063 202,748,191
TOTAL 35,427 321,423,251
PUB15X COV BY PUBLIC INS - 12/31/15 (ED) 2.0 NUM 2482 2483

1 YES 15,128 115,604,479
2 NO 20,064 202,975,262
TOTAL 35,427 321,423,251
PUBAT31X COV BY PUBLIC - ANY TIME IN R3/1 2.0 NUM 2484 2485

1 YES 14,291 111,585,383
2 NO 20,139 206,261,872
TOTAL 35,427 321,423,251
DATE: July 24, 2017

1 YES 15,187 116,948,499
2 NO 19,736 201,954,743
TOTAL 35,427 321,423,251

1 YES 15,418 117,957,514
2 NO 19,774 200,622,227
TOTAL 35,427 321,423,251
PUBAT15X COV BY PUBLIC - R5/3 UNTIL 12/31/15 2.0 NUM 2490 2491

1 YES 15,325 117,131,195
2 NO 19,867 201,448,546
TOTAL 35,427 321,423,251
INS31X INSURED - R3/1 INT DATE (ED) 2.0 NUM 2492 2493

1 YES 28,335 276,119,600
2 NO 6,095 41,727,656
TOTAL 35,427 321,423,251
DATE: July 24, 2017
INS42X INSURED - R4/2 INT DATE (ED) 2.0 NUM 2494 2495

1 YES 29,194 280,248,775
2 NO 5,729 38,654,466
TOTAL 35,427 321,423,251
INS53X INSURED 12-31/R3 INT DATE (ED) 2.0 NUM 2496 2497

1 YES 29,572 281,252,469
2 NO 5,620 37,327,272
TOTAL 35,427 321,423,251
INS15X INSURED - 12/31/15 (ED) 2.0 NUM 2498 2499

1 YES 29,543 280,915,618
2 NO 5,649 37,664,122
TOTAL 35,427 321,423,251
INSAT31X INSURED ANY TIME IN R3/1 2.0 NUM 2500 2501

1 YES 28,590 278,152,705
2 NO 5,840 39,694,551
TOTAL 35,427 321,423,251
DATE: July 24, 2017

1 YES 29,878 286,224,748
2 NO 5,045 32,678,493
TOTAL 35,427 321,423,251

1 YES 30,285 287,825,698
2 NO 4,907 30,754,042
TOTAL 35,427 321,423,251
INSAT15X INSURED ANY TIME IN R5/R3 UNTIL 12/31/15 2.0 NUM 2506 2507

1 YES 30,073 286,173,725
2 NO 5,119 32,406,016
TOTAL 35,427 321,423,251
STAPR31 COV BY STATE-SPEC PROG - R3/1 INT DT 2.0 NUM 2508 2509

1 YES 168 1,376,168
2 NO 34,262 316,471,087
TOTAL 35,427 321,423,251
DATE: July 24, 2017
STAPR42 COV BY STATE-SPEC PROG - R4/2 INT DT 2.0 NUM 2510 2511

1 YES 203 1,606,011
2 NO 34,720 317,297,230
TOTAL 35,427 321,423,251
STAPR53 COV BY STATE-SPEC PROG 12-31/R3 INT DT 2.0 NUM 2512 2513

1 YES 214 1,527,883
2 NO 34,978 317,051,857
TOTAL 35,427 321,423,251
STAPR15 COV BY STATE-SPEC PROG - 12/31/15 2.0 NUM 2514 2515

1 YES 208 1,490,380
2 NO 34,984 317,089,361
TOTAL 35,427 321,423,251
STPRAT31 COVERAGE BY STATE INS - ANY TIME IN R3/1 2.0 NUM 2516 2517

1 YES 170 1,391,010
2 NO 34,260 316,456,246
TOTAL 35,427 321,423,251
DATE: July 24, 2017

1 YES 209 1,636,482
2 NO 34,714 317,266,760
TOTAL 35,427 321,423,251

1 YES 217 1,538,837
2 NO 34,975 317,040,903
TOTAL 35,427 321,423,251
STPRAT15 COV BY STATE INS - R5/3 UNTIL 12/31/15 2.0 NUM 2522 2523

1 YES 211 1,501,334
2 NO 34,981 317,078,407
TOTAL 35,427 321,423,251
DENTIN31 DENTAL INSURANCE - ANY TIME IN RD 3/1 2.0 NUM 2524 2525

1 YES 11,996 139,218,797
2 NO 22,434 178,628,458
TOTAL 35,427 321,423,251
DATE: July 24, 2017

1 YES 12,270 141,565,344
2 NO 22,653 177,337,898
TOTAL 35,427 321,423,251

1 YES 12,393 141,180,122
2 NO 22,799 177,399,618
TOTAL 35,427 321,423,251
DNTINS31 DENTAL INS - ANY TIME IN RD 3/1 IN 2015 2.0 NUM 2530 2531

1 YES 11,766 136,835,382
2 NO 22,664 181,011,873
TOTAL 35,427 321,423,251
DNTINS15 DENTL INS-ANY TIME IN R5/R3 TIL 12/31/15 2.0 NUM 2532 2533

1 YES 12,246 139,887,056
2 NO 22,946 178,692,684
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PMEDIN31 PMED INS - ANY TIME IN RD 3/1 2.0 NUM 2534 2535

1 YES 15,101 178,679,608
2 NO 19,329 139,167,648
TOTAL 35,427 321,423,251
PMEDIN42 PMEDINS - ANY TIME IN RD 4/2 2.0 NUM 2536 2537

1 YES 15,584 182,742,069
2 NO 19,339 136,161,173
TOTAL 35,427 321,423,251
PMEDIN53 PMEDINS - ANY TIME IN RD 5/3 2.0 NUM 2538 2539

1 YES 15,876 183,686,040
2 NO 19,316 134,893,701
TOTAL 35,427 321,423,251
PMDINS31 PMED INS - RD 3/1 IN 2015 2.0 NUM 2540 2541

1 YES 14,853 176,254,839
2 NO 19,577 141,592,417
TOTAL 35,427 321,423,251
DATE: July 24, 2017
PMDINS15 PMED INS - R5/R3 UNTIL 12/31/15 2.0 NUM 2542 2543

1 YES 15,682 182,000,287
2 NO 19,510 136,579,453
TOTAL 35,427 321,423,251
PMEDUP31 HAS USUAL 3RD PARTY PAYER FOR PMEDS-R3/1 2.0 NUM 2544 2545

-8 DK 106 1,041,571
-7 REFUSED 6 94,980
-1 INAPPLICABLE 21,261 171,682,078
1 YES 12,225 131,522,996
2 NO 1,773 16,618,428
TOTAL 35,427 321,423,251

-8 DK 76 658,994
-7 REFUSED 5 61,885
-1 INAPPLICABLE 20,416 166,495,374
1 YES 13,159 138,422,584
2 NO 1,734 15,363,146
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-8 DK 119 1,154,965
-7 REFUSED 4 54,754
-1 INAPPLICABLE 21,047 172,471,921
1 YES 12,718 133,622,689
2 NO 1,501 13,781,427
TOTAL 35,427 321,423,251
PMEDPY31 USUAL 3RD PARTY PAYER FOR PMEDS - R3/1 2.0 NUM 2550 2551

-1 INAPPLICABLE 23,202 189,900,255
1 PRIVATE INSURANCE 7,029 88,233,025
2 MEDICARE 1,475 14,557,050
3 MEDICAID 2,857 19,628,874
4 VA/CHAMPVA 218 2,387,384
5 TRICARE 244 3,034,374
6 STATE/LOCAL GOVERNMENT 130 957,464
7 OTHER 226 2,154,029
TOTAL 35,427 321,423,251

-1 INAPPLICABLE 22,268 183,000,667
2 MEDICARE 1,534 15,116,417
3 MEDICAID 3,029 19,565,742
4 VA/CHAMPVA 265 2,817,254
5 TRICARE 261 3,219,129
7 OTHER 232 2,045,510
TOTAL 35,427 321,423,251
DATE: July 24, 2017

-1 INAPPLICABLE 22,709 187,800,562
2 MEDICARE 1,546 15,158,059
3 MEDICAID 2,853 18,892,056
4 VA/CHAMPVA 244 2,593,095
5 TRICARE 254 2,893,227
7 OTHER 238 1,964,062
TOTAL 35,427 321,423,251
TOTTCH15 TOTAL HEALTH CARE CHARGES 15, EXCL RX 7.0 NUM 2556 2562
0.00 7,473 51,440,879

$2 - $474 6,992 57,984,768
$475 - $1,531 6,986 66,962,062
$1,532 - $5,964 6,990 72,477,007
$5,965 - $2,542,644 6,986 72,558,535
TOTAL 35,427 321,423,251
TOTEXP15 TOTAL HEALTH CARE EXP 15 6.0 NUM 2563 2568
0.00 6,936 47,066,356

$1 - $331 7,133 55,194,231
$332 - $1,098 7,114 66,360,435
$1,099 - $4,032 7,122 75,074,311
$4,033 - $700,771 7,122 77,727,918
TOTAL 35,427 321,423,251
DATE: July 24, 2017
TOTSLF15 TOTAL AMT PAID BY SELF/FAMILY 15 5.0 NUM 2569 2573
0.00 13,409 89,163,960

$1 - $63 5,518 47,001,772
$64 - $227 5,496 55,209,605
$228 - $692 5,502 60,471,062
$693 - $84,747 5,502 69,576,851
TOTAL 35,427 321,423,251
TOTMCR15 TOTAL AMT PAID BY MEDICARE 15 6.0 NUM 2574 2579
0.00 30,091 264,835,407

$1 - $542 1,335 13,894,650
$543 - $2,167 1,333 14,259,063
$2,168 - $7,802 1,334 14,380,086
$7,803 - $421,571 1,334 14,054,045
TOTAL 35,427 321,423,251
TOTMCD15 TOTAL AMT PAID BY MEDICAID 15 6.0 NUM 2580 2585
0.00 25,587 257,525,650

$1 - $145 2,467 16,265,086
$146 - $432 2,454 14,782,574
$433 - $1,559 2,460 15,735,896
$1,560 - $534,580 2,459 17,114,045
TOTAL 35,427 321,423,251
DATE: July 24, 2017
TOTPRV15 TOTAL AMT PAID BY PRIVATE INS 15 6.0 NUM 2586 2591
0.00 20,891 145,685,727

$1 - $269 3,641 40,267,963
$270 - $767 3,632 43,804,244
$768 - $2,414 3,632 45,350,285
$2,415 - $653,289 3,631 46,315,032
TOTAL 35,427 321,423,251
TOTVA15 TOTAL AMT PAID BY VA/CHAMPVA 15 6.0 NUM 2592 2597
0.00 34,643 312,806,910

$4 - $233 197 2,054,333
$234 - $917 195 2,235,905
$918 - $3,432 196 2,212,695
$3,433 - $161,605 196 2,113,407
TOTAL 35,427 321,423,251
TOTTRI15 TOTAL AMT PAID BY TRICARE 15 5.0 NUM 2598 2602
0.00 34,828 314,275,477

$2 - $138 150 1,962,143
$139 - $539 150 1,574,698
$540 - $1,870 150 1,768,812
$1,871 - $53,347 149 1,842,120
TOTAL 35,427 321,423,251
DATE: July 24, 2017
TOTOFD15 TOTAL AMT PAID BY OTHER FEDERAL 15 5.0 NUM 2603 2607
0.00 34,986 316,986,308

$1 - $16 111 962,683
$17 - $103 110 987,751
$104 - $557 110 1,265,967
$558 - $53,505 110 1,220,542
TOTAL 35,427 321,423,251
TOTSTL15 TOTAL AMT PAID BY OTH ST/LOCAL 15 6.0 NUM 2608 2613
0.00 34,334 312,119,043

$1 - $28 275 2,579,570
$29 - $128 275 2,140,500
$129 - $506 270 2,344,861
$507 - $597,984 273 2,239,277
TOTAL 35,427 321,423,251
TOTWCP15 TOTAL AMT PAID BY WORKERS COMP 15 6.0 NUM 2614 2619
0.00 34,892 315,941,020

$1 - $70 134 1,409,148
$71 - $440 134 1,334,736
$441 - $1,892 134 1,270,479
$1,893 - $188,478 133 1,467,868
TOTAL 35,427 321,423,251
DATE: July 24, 2017
TOTOPR15 TOTAL AMT PAID BY OTHER PRIVATE 15 6.0 NUM 2620 2625
0.00 33,247 302,186,283

$1 - $66 554 4,353,325
$67 - $226 538 4,521,370
$227 - $948 545 5,077,260
$949 - $151,230 543 5,285,013
TOTAL 35,427 321,423,251
TOTOPU15 TOTAL AMT PAID BY OTHER PUBLIC 15 5.0 NUM 2626 2630
0.00 34,850 317,533,255

$1 - $46 146 1,153,715
$47 - $160 143 909,525
$161 - $525 144 998,902
$526 - $76,210 144 827,854
TOTAL 35,427 321,423,251
TOTOSR15 TOTAL AMT PAID BY OTHER SOURCES 15 6.0 NUM 2631 2636
0.00 33,387 302,708,367

$1 - $59 512 5,085,605
$60 - $173 510 4,221,135
$174 - $597 509 4,724,300
$598 - $135,267 509 4,683,844
TOTAL 35,427 321,423,251
DATE: July 24, 2017
TOTPTR15 TOTAL AMT PAID BY PRV & TRI 15 6.0 NUM 2637 2642
0.00 20,661 143,152,288

$1 - $275 3,704 40,913,499
$276 - $786 3,682 44,246,310
$787 - $2,480 3,689 45,946,355
$2,481 - $653,289 3,691 47,164,799
TOTAL 35,427 321,423,251
TOTOTH15 TOTAL AMT PAID BY OTH COMBINED 15 6.0 NUM 2643 2648
0.00 30,231 275,252,150

$1 - $61 1,304 11,735,703
$62 - $216 1,295 10,624,798
$217 - $901 1,298 11,909,357
$902 - $599,065 1,299 11,901,243
TOTAL 35,427 321,423,251
OBTOTV15 # OFFICE-BASED PROVIDER VISITS 15 3.0 NUM 2649 2651
0 11,405 83,151,222
1 - 367 24,022 238,272,029
TOTAL 35,427 321,423,251
OBVTCH15 OFFICE-BASED PROVIDER VISIT CHARGES 15 7.0 NUM 2652 2658
0.00 11,417 83,289,854

$2 - $309 6,008 52,546,381
$310 - $858 6,002 56,869,195
$859 - $2,665 5,998 62,101,974
$2,666 - $2,332,507 6,002 66,615,846
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBVEXP15 TOTAL OFFICE-BASED EXP 15 6.0 NUM 2659 2664
0.00 11,683 85,611,605

$1 - $166 5,953 49,674,452
$167 - $442 5,945 56,109,696
$443 - $1,275 5,911 61,146,548
$1,276 - $526,744 5,935 68,880,951
TOTAL 35,427 321,423,251
OBVSLF15 ALL OFFICE VISITS - SELF/FAMILY AMT 15 5.0 NUM 2665 2669
0.00 21,177 158,492,538

$1 - $35 3,599 35,673,083
$36 - $100 3,624 40,286,471
$101 - $272 3,471 40,533,281
$273 - $26,486 3,556 46,437,879
TOTAL 35,427 321,423,251
OBVMCR15 ALL OFFICE VISITS - MEDICARE AMT 15 6.0 NUM 2670 2675
0.00 30,927 272,948,582

$2 - $238 1,126 11,248,568
$239 - $646 1,126 11,662,646
$647 - $1,673 1,126 12,510,380
$1,674 - $176,385 1,122 13,053,074
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBVMCD15 ALL OFFICE VISITS - MEDICAID AMT 15 6.0 NUM 2676 2681
0.00 28,214 275,597,826

$1 - $98 1,821 11,302,751
$99 - $220 1,791 10,514,989
$221 - $581 1,800 11,553,055
$582 - $122,218 1,801 12,454,630
TOTAL 35,427 321,423,251
OBVPRV15 ALL OFFICE VISITS - PRIVATE INS AMT 15 6.0 NUM 2682 2687
0.00 23,469 174,480,292

$1 - $141 3,003 34,133,295
$142 - $346 2,977 36,367,289
$347 - $908 2,991 36,798,991
$909 - $152,061 2,987 39,643,384
TOTAL 35,427 321,423,251
OBVVA15 ALL OFFICE VISITS-VA/CHAMPVA AMT 15 5.0 NUM 2688 2692
0.00 34,887 315,467,771

$4 - $200 136 1,428,939
$201 - $642 134 1,445,738
$643 - $1,970 135 1,555,426
$1,971 - $30,868 135 1,525,378
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBVTRI15 ALL OFFICE VISITS-TRICARE AMT 15 5.0 NUM 2693 2697
0.00 34,966 315,883,257

$1 - $76 117 1,520,357
$77 - $198 114 1,298,819
$199 - $575 115 1,329,482
$576 - $16,689 115 1,391,336
TOTAL 35,427 321,423,251
OBVOFD15 ALL OFFICE VISITS-OTHER FEDERAL AMT 15 5.0 NUM 2698 2702
0.00 35,282 319,660,810

$1 - $61 37 433,897
$62 - $152 36 432,339
$153 - $424 36 493,717
$425 - $13,374 36 402,488
TOTAL 35,427 321,423,251
OBVSTL15 ALL OFFICE VISITS-OTH ST/LOCAL AMT 15 6.0 NUM 2703 2708
0.00 35,101 319,339,409

$6 - $65 82 465,851
$66 - $131 82 489,264
$132 - $315 81 617,364
$316 - $525,406 81 511,363
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBVWCP15 ALL OFFICE VISITS - WORKERS COMP AMT 15 5.0 NUM 2709 2713
0.00 35,129 318,438,931

$2 - $152 75 747,135
$153 - $613 74 691,959
$614 - $2,104 75 783,312
$2,105 - $32,047 74 761,914
TOTAL 35,427 321,423,251
OBVOPR15 ALL OFFICE VISITS - OTH PRIVATE AMT 15 5.0 NUM 2714 2718
0.00 34,158 309,254,771

$1 - $68 319 2,929,285
$69 - $160 316 2,881,761
$161 - $496 317 3,128,524
$497 - $73,184 317 3,228,910
TOTAL 35,427 321,423,251
OBVOPU15 ALL OFFICE VISITS - OTH PUBLIC AMT 15 5.0 NUM 2719 2723
0.00 35,175 319,839,788

$1 - $70 63 412,961
$71 - $178 63 364,596
$179 - $411 63 390,706
$412 - $13,801 63 415,200
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBVOSR15 ALL OFF VSTS - OTH UNCLASS SRCE AMT 15 5.0 NUM 2724 2728
0.00 34,185 310,174,500

$1 - $51 313 3,188,189
$52 - $135 312 2,531,720
$136 - $383 307 2,807,387
$384 - $53,325 310 2,721,455
TOTAL 35,427 321,423,251
OBVPTR15 ALL OFFICE VISITS - PRV & TRI AMT 15 6.0 NUM 2729 2734
0.00 23,176 171,142,081

$1 - $141 3,084 35,100,935
$142 - $347 3,050 37,191,001
$348 - $911 3,056 37,491,004
$912 - $152,061 3,061 40,498,230
TOTAL 35,427 321,423,251
OBVOTH15 ALL OFFICE VISITS - OTH COMBINED AMT 15 6.0 NUM 2735 2740
0.00 32,480 295,088,680

$1 - $66 743 6,835,861
$67 - $161 733 6,147,593
$162 - $466 736 6,520,598
$467 - $525,406 735 6,830,519
TOTAL 35,427 321,423,251
OBDRV15 # OFFICE-BASED PHYSICIAN VISITS 15 3.0 NUM 2741 2743
0 13,523 105,525,998
1 - 195 21,904 215,897,253
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBDTCH15 OFFICE-BASED PHYSICIAN VISIT CHARGES 15 7.0 NUM 2744 2750
0.00 13,537 105,632,865

$2 - $275 5,485 48,788,539
$276 - $690 5,466 52,000,130
$691 - $1,959 5,467 55,859,683
$1,960 - $2,332,507 5,472 59,142,034
TOTAL 35,427 321,423,251
OBDEXP15 TOTAL OFF-BASED DR EXP 15 6.0 NUM 2751 2756
0.00 13,721 107,098,265

$1 - $146 5,444 45,899,175
$147 - $351 5,419 50,895,822
$352 - $921 5,419 56,483,406
$922 - $526,744 5,424 61,046,583
TOTAL 35,427 321,423,251
OBDSLF15 DR OFFICE VISITS - SELF/FAMILY AMT 15 5.0 NUM 2757 2761
0.00 23,276 182,866,593

$1 - $30 3,282 33,793,146
$31 - $80 2,984 33,052,490
$81 - $196 2,856 32,807,924
$197 - $25,930 3,029 38,903,097
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBDMCR15 DR OFFICE VISITS - MEDICARE AMT 15 6.0 NUM 2762 2767
0.00 31,137 275,415,056

$2 - $195 1,075 11,019,784
$196 - $505 1,072 11,131,703
$506 - $1,248 1,071 11,470,712
$1,249 - $176,379 1,072 12,385,997
TOTAL 35,427 321,423,251
OBDMCD15 DR OFFICE VISITS - MEDICAID AMT 15 6.0 NUM 2768 2773
0.00 28,837 280,858,521

$1 - $88 1,662 10,211,772
$89 - $184 1,639 9,295,547
$185 - $440 1,646 10,362,192
$441 - $122,218 1,643 10,695,218
TOTAL 35,427 321,423,251
OBDPRV15 DR OFFICE VISITS - PRIVATE INS AMT 15 6.0 NUM 2774 2779
0.00 24,709 189,717,846

$1 - $119 2,680 31,442,482
$120 - $276 2,693 32,260,446
$277 - $675 2,666 33,282,044
$676 - $151,945 2,679 34,720,433
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBDVA15 DR OFFICE VISITS - VA/CHAMPVA AMT 15 5.0 NUM 2780 2784
0.00 34,960 316,251,089

$3 - $172 117 1,327,102
$173 - $496 117 1,226,302
$497 - $1,362 117 1,335,607
$1,363 - $25,775 116 1,283,151
TOTAL 35,427 321,423,251
OBDTRI15 DR OFFICE VISITS - TRICARE AMT 15 4.0 NUM 2785 2788
0.00 35,010 316,401,670

$1 - $66 105 1,363,000
$67 - $161 105 1,263,785
$162 - $454 103 1,128,671
$455 - $7,662 104 1,266,125
TOTAL 35,427 321,423,251
OBDOFD15 DR OFFICE VISITS - OTHER FEDERAL AMT 15 4.0 NUM 2789 2792
0.00 35,309 320,034,626

$1 - $54 30 396,853
$55 - $122 29 273,193
$123 - $306 30 336,487
$307 - $4,556 29 382,092
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBDSTL15 DR OFFICE VISITS - OTH ST/LOCAL AMT 15 6.0 NUM 2793 2798
0.00 35,139 319,687,564

$6 - $66 74 383,132
$67 - $129 70 388,379
$130 - $299 72 514,385
$300 - $525,406 72 449,791
TOTAL 35,427 321,423,251
OBDWCP15 DR OFFICE VISITS - WORKERS COMP AMT 15 5.0 NUM 2799 2803
0.00 35,169 318,897,837

$2 - $149 65 676,687
$150 - $479 64 697,653
$480 - $1,272 65 567,870
$1,273 - $32,047 64 583,203
TOTAL 35,427 321,423,251
OBDOPR15 DR OFFICE VISITS - OTH PRIVATE AMT 15 5.0 NUM 2804 2808
0.00 34,315 310,629,741

$1 - $62 279 2,663,286
$63 - $149 280 2,523,021
$150 - $411 275 2,748,196
$412 - $68,605 278 2,859,007
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBDOPU15 DR OFFICE VISITS - OTH PUBLIC AMT 15 4.0 NUM 2809 2812
0.00 35,216 320,199,230

$1 - $67 54 316,000
$68 - $175 53 280,168
$176 - $396 52 292,592
$397 - $7,374 52 335,262
TOTAL 35,427 321,423,251
OBDOSR15 DR OFF VSTS - OTH UNCLASS SRCE AMT 15 5.0 NUM 2813 2817
0.00 34,489 313,362,355

$1 - $52 236 2,167,506
$53 - $124 234 1,724,408
$125 - $308 234 2,091,730
$309 - $40,739 234 2,077,252
TOTAL 35,427 321,423,251
OBDPTR15 DR OFFICE VISITS - PRV & TRI AMT 15 6.0 NUM 2818 2823
0.00 24,426 186,475,301

$1 - $119 2,759 32,401,441
$120 - $275 2,743 32,674,067
$276 - $677 2,751 34,262,641
$678 - $151,945 2,748 35,609,801
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBDOTH15 DR OFFICE VISITS - OTH COMBINED AMT 15 6.0 NUM 2824 2829
0.00 32,962 299,888,367

$1 - $64 621 5,576,562
$65 - $147 612 4,876,358
$148 - $396 618 5,412,677
$397 - $525,406 614 5,669,287
TOTAL 35,427 321,423,251
OBOTHV15 # OFFICE-BASED NON-PHYSICAN VISITS 15 3.0 NUM 2830 2832
0 23,990 192,102,098
1 - 317 11,437 129,321,153
TOTAL 35,427 321,423,251
OBOTCH15 OFFICE-BASED NON-DR VISIT CHARGES 15 6.0 NUM 2833 2838
0.00 24,003 192,265,272

$5 - $178 2,860 30,812,483
$179 - $479 2,853 31,250,973
$480 - $1,479 2,856 33,299,274
$1,480 - $805,215 2,855 33,795,250
TOTAL 35,427 321,423,251
OBOEXP15 TOTAL OFF-BASED NON-DR EXP 15 5.0 NUM 2839 2843
0.00 24,331 195,740,885

$1 - $109 2,812 29,680,523
$110 - $278 2,744 30,425,881
$279 - $806 2,767 31,810,705
$807 - $69,537 2,773 33,765,258
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBOSLF15 NON-DR OFF VISTS - SELF/FAMILY AMT 15 5.0 NUM 2844 2848
0.00 29,344 243,950,334

$1 - $30 1,561 18,748,258
$31 - $85 1,494 18,610,545
$86 - $230 1,515 19,508,930
$231 - $15,505 1,513 20,605,183
TOTAL 35,427 321,423,251
OBOMCR15 NON-DR OFF VISTS - MEDICARE AMT 15 5.0 NUM 2849 2853
0.00 33,173 294,984,658

$2 - $98 566 6,478,149
$99 - $241 563 6,459,548
$242 - $741 562 6,710,676
$742 - $63,406 563 6,790,219
TOTAL 35,427 321,423,251
OBOMCD15 NON-DR OFF VISTS - MEDICAID AMT 15 5.0 NUM 2854 2858
0.00 33,086 304,330,727

$1 - $75 588 4,137,255
$76 - $190 583 4,036,030
$191 - $568 585 4,378,560
$569 - $37,414 585 4,540,679
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBOPRV15 NON-DR OFF VISTS - PRIVATE INS AMT 15 5.0 NUM 2859 2863
0.00 29,626 245,094,560

$1 - $81 1,463 18,906,923
$82 - $205 1,438 18,794,855
$206 - $560 1,451 18,529,295
$561 - $58,174 1,449 20,097,619
TOTAL 35,427 321,423,251
OBOVA15 NON-DR OFF VISTS - VA/CHAMPVA AMT 15 5.0 NUM 2864 2868
0.00 35,167 318,451,898

$8 - $169 65 779,176
$170 - $490 65 722,427
$491 - $1,387 65 717,993
$1,388 - $30,852 65 751,758
TOTAL 35,427 321,423,251
OBOTRI15 NON-DR OFF VISTS - TRICARE AMT 15 5.0 NUM 2869 2873
0.00 35,228 318,979,124

$1 - $40 52 700,136
$41 - $142 48 561,237
$143 - $462 50 634,422
$463 - $11,899 49 548,331
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBOOFD15 NON-DR OFF VISTS - OTHER FEDERAL AMT 15 5.0 NUM 2874 2878
0.00 35,371 320,723,317

$2 - $58 14 136,718
$59 - $155 14 194,563
$156 - $371 14 215,011
$372 - $13,112 14 153,642
TOTAL 35,427 321,423,251
OBOSTL15 NON-DR OFF VISTS - OTH ST/LOCAL AMT 15 5.0 NUM 2879 2883
0.00 35,355 320,837,056

$3 - $32 19 124,513
$33 - $89 17 142,497
$90 - $230 18 139,467
$231 - $21,600 18 179,718
TOTAL 35,427 321,423,251
OBOWCP15 NON-DR OFF VISTS - WORKERS COMP AMT 15 5.0 NUM 2884 2888
0.00 35,307 320,086,901

$1 - $244 30 275,966
$245 - $927 30 330,708
$928 - $2,107 30 376,711
$2,108 - $26,519 30 352,965
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBOOPR15 NON-DR OFF VISTS - OTH PRIVATE AMT 15 5.0 NUM 2889 2893
0.00 34,977 316,563,960

$1 - $44 114 1,185,820
$45 - $125 114 1,228,252
$126 - $336 111 1,275,542
$337 - $17,999 111 1,169,675
TOTAL 35,427 321,423,251
OBOOPU15 NON-DR OFF VISTS - OTH PUBLIC AMT 15 4.0 NUM 2894 2897
0.00 35,351 320,822,990

$10 - $51 19 198,416
$52 - $142 20 154,315
$143 - $343 18 118,991
$344 - $6,427 19 128,539
TOTAL 35,427 321,423,251
OBOOSR15 NON-DR OF VSTS - OTH UNCLASS SRCE AMT 15 5.0 NUM 2898 2902
0.00 35,035 317,449,868

$1 - $42 100 1,238,357
$43 - $148 97 981,342
$149 - $583 97 916,733
$584 - $53,325 98 836,952
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBOPTR15 NON-DR OFF VISTS - PRV & TRI AMT 15 5.0 NUM 2903 2907
0.00 29,479 243,295,728

$1 - $80 1,498 19,347,127
$81 - $206 1,482 19,400,486
$207 - $561 1,485 18,890,244
$562 - $58,174 1,483 20,489,665
TOTAL 35,427 321,423,251
OBOOTH15 NON-DR OFF VISTS - OTH COMBINED AMT 15 5.0 NUM 2908 2912
0.00 34,452 311,454,506

$1 - $45 244 2,621,021
$46 - $137 247 2,440,189
$138 - $414 243 2,650,845
$415 - $53,325 241 2,256,691
TOTAL 35,427 321,423,251
OBCHIR15 # OFFICE-BASED CHIROPRACTOR VISITS 15 3.0 NUM 2913 2915
0 34,190 305,199,214
1 - 104 1,237 16,224,037
TOTAL 35,427 321,423,251
OBCTCH15 OFFICE-BASED CHIRO VISIT CHARGES 15 5.0 NUM 2916 2920
0.00 34,191 305,202,174

$8 - $138 310 4,307,431
$139 - $360 311 4,153,209
$361 - $1,050 308 4,246,079
$1,051 - $35,850 307 3,514,358
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBCEXP15 TOTAL OFF-BASED CHIRO EXP 15 5.0 NUM 2921 2925
0.00 34,209 305,388,031

$3 - $114 308 4,286,581
$115 - $278 301 4,133,005
$279 - $800 306 4,016,443
$801 - $11,472 303 3,599,190
TOTAL 35,427 321,423,251
OBCSLF15 CHIRO OFF VISITS - SELF/FAMILY AMT 15 4.0 NUM 2926 2929
0.00 34,483 308,517,956

$3 - $45 240 3,457,563
$46 - $120 241 3,310,789
$121 - $309 227 2,979,784
$310 - $5,970 236 3,157,159
TOTAL 35,427 321,423,251
OBCMCR15 CHIRO OFF VISITS - MEDICARE AMT 15 4.0 NUM 2930 2933
0.00 35,286 319,540,588

$3 - $80 36 517,597
$81 - $210 35 427,772
$211 - $416 35 500,857
$417 - $6,132 35 436,437
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBCMCD15 CHIRO OFF VISITS - MEDICAID AMT 15 4.0 NUM 2934 2937
0.00 35,366 320,947,392

$17 - $106 16 126,790
$107 - $282 15 149,450
$283 - $683 15 124,046
$684 - $3,417 15 75,573
TOTAL 35,427 321,423,251
OBCPRV15 CHIRO OFF VISITS - PRIVATE INS AMT 15 5.0 NUM 2938 2942
0.00 34,777 312,258,952

$1 - $55 164 2,396,889
$56 - $160 165 2,276,573
$161 - $474 159 2,201,207
$475 - $11,252 162 2,289,631
TOTAL 35,427 321,423,251
OBCVA15 CHIRO OFF VISITS - VA/CHAMPVA AMT 15 4.0 NUM 2943 2946
0.00 35,416 321,331,258

$10 - $1,641 11 91,993
TOTAL 35,427 321,423,251
OBCTRI15 CHIRO OFF VISITS - TRICARE AMT 15 3.0 NUM 2947 2949
0.00 35,417 321,310,870

$5 - $19 3 30,440
$20 - $118 2 21,289
$119 - $256 3 31,186
$257 - $726 2 29,466
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBCOFD15 CHIRO OFF VISITS - OTHER FEDERAL AMT 15 1.0 NUM 2950 2950
0.00 35,427 321,423,251

TOTAL 35,427 321,423,251
OBCSTL15 CHIRO OFF VISITS - OTH ST/LOCAL AMT 15 3.0 NUM 2951 2953
0.00 35,425 321,404,603

$27 - $129 2 18,648
TOTAL 35,427 321,423,251
OBCWCP15 CHIRO OFF VISITS - WORKERS COMP AMT 15 4.0 NUM 2954 2957
0.00 35,412 321,295,460

$38 - $190 4 46,324
$191 - $977 4 25,480
$978 - $1,511 4 39,876
$1,512 - $3,968 3 16,109
TOTAL 35,427 321,423,251
OBCOPR15 CHIRO OFF VISTS - OTHR PRIVATE AMT 15 4.0 NUM 2958 2961
0.00 35,388 320,872,704

$3 - $40 10 173,953
$41 - $86 10 135,304
$87 - $254 10 150,395
$255 - $3,375 9 90,895
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBCOPU15 CHIRO OFF VISTS - OTHR PUBLIC AMT 15 3.0 NUM 2962 2964
0.00 35,423 321,385,924

$69 - $99 1 17,720
$100 - $137 1 6,124
$138 - $155 1 4,348
$156 - $164 1 9,135
TOTAL 35,427 321,423,251
OBCOSR15 CHIRO OFF VSTS-OTHR UNCLASS SRCE AMT 15 5.0 NUM 2965 2969
0.00 35,339 320,613,483

$7 - $216 22 280,555
$217 - $559 22 226,882
$560 - $1,742 22 144,591
$1,743 - $10,567 22 157,740
TOTAL 35,427 321,423,251
OBCPTR15 CHIRO OFF VISITS - PRV & TRI AMT 15 5.0 NUM 2970 2974
0.00 34,773 312,212,082

$1 - $55 165 2,409,247
$56 - $160 164 2,267,642
$161 - $465 162 2,234,769
$466 - $11,252 163 2,299,511
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBCOTH15 CHIRO OFF VISITS -OTH COMBINED AMT 15 5.0 NUM 2975 2979
0.00 35,298 320,056,990

$3 - $109 35 467,730
$110 - $298 30 385,488
$299 - $1,143 32 285,858
$1,144 - $10,567 32 227,186
TOTAL 35,427 321,423,251
OBNURS15 # OFF-BASED NURSE/PRACTITIONER VISITS 15 3.0 NUM 2980 2982
0 31,739 278,496,623
1 - 317 3,688 42,926,628
TOTAL 35,427 321,423,251
OBNTCH15 OFFICE-BASED NURSE/PRAC VISIT CHARGES 15 6.0 NUM 2983 2988
0.00 31,750 278,651,060

$6 - $120 947 11,191,754
$121 - $242 894 10,257,846
$243 - $564 917 10,519,061
$565 - $798,804 919 10,803,530
TOTAL 35,427 321,423,251
OBNEXP15 TOTAL OFF-BASED NURSE/PRAC 15 5.0 NUM 2989 2993
0.00 31,953 281,012,363

$1 - $72 871 9,467,784
$73 - $140 879 10,298,289
$141 - $315 858 10,142,263
$316 - $59,344 866 10,502,552
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBNSLF15 NURSE/PRAC OFF VISITS-SELF/FAMILY AMT 15 4.0 NUM 2994 2997
0.00 33,942 302,217,800

$1 - $20 433 5,659,287
$21 - $39 312 3,839,819
$40 - $86 369 4,802,886
$87 - $3,785 371 4,903,460
TOTAL 35,427 321,423,251
OBNMCR15 NURSE/PRAC OFF VISITS - MEDICARE AMT 15 5.0 NUM 2998 3002
0.00 34,674 312,432,705

$2 - $67 190 2,318,508
$68 - $134 188 2,086,445
$135 - $304 188 2,412,257
$305 - $46,940 187 2,173,336
TOTAL 35,427 321,423,251
OBNMCD15 NURSE/PRAC OFF VSTS - MEDICAID AMT 15 5.0 NUM 3003 3007
0.00 34,654 315,552,630

$1 - $53 196 1,377,549
$54 - $104 193 1,517,563
$105 - $277 191 1,458,896
$278 - $37,337 193 1,516,613
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBNPRV15 NURSE/PRAC OFF VSTS-PRIVATE INS AMT 15 5.0 NUM 3008 3012
0.00 33,686 297,748,210

$1 - $52 438 5,726,117
$53 - $108 436 6,102,973
$109 - $246 433 6,045,998
$247 - $31,695 434 5,799,952
TOTAL 35,427 321,423,251
OBNVA15 NURSE/PRAC OFF VSTS - VA/CHAMPVA AMT 15 4.0 NUM 3013 3016
0.00 35,342 320,527,649

$8 - $133 22 235,407
$134 - $275 21 241,866
$276 - $876 21 145,070
$877 - $7,899 21 273,259
TOTAL 35,427 321,423,251
OBNTRI15 NURSE/PRAC OFF VSTS - TRICARE AMT 15 4.0 NUM 3017 3020
0.00 35,380 320,823,018

$10 - $21 12 151,224
$22 - $93 12 141,770
$94 - $236 12 146,386
$237 - $4,980 11 160,853
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBNOFD15 NURSE/PRAC OFF VSTS-OTHER FEDERAL AMT 15 5.0 NUM 3021 3025
0.00 35,409 321,237,891

$2 - $55 5 18,150
$56 - $88 4 58,396
$89 - $122 5 78,605
$123 - $12,910 4 30,208
TOTAL 35,427 321,423,251
OBNSTL15 NURSE/PRAC OFF VSTS-OTH ST/LOCAL AMT 15 5.0 NUM 3026 3030
0.00 35,403 321,232,243

$15 - $25 7 45,067
$26 - $73 5 45,149
$74 - $146 6 66,832
$147 - $21,600 6 33,960
TOTAL 35,427 321,423,251
OBNWCP15 NURSE/PRAC OFF VSTS-WORKERS COMP AMT 15 4.0 NUM 3031 3034
0.00 35,406 321,094,642

$1 - $58 6 51,523
$59 - $132 5 39,033
$133 - $450 5 111,471
$451 - $1,898 5 126,581
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBNOPR15 NURSE/PRAC OFF VSTS - OTH PRIVATE AMT 15 4.0 NUM 3035 3038
0.00 35,317 320,264,884

$3 - $22 28 300,118
$23 - $58 27 256,236
$59 - $173 28 337,527
$174 - $4,579 27 264,486
TOTAL 35,427 321,423,251
OBNOPU15 NURSE/PRAC OFF VSTS - OTH PUBLIC AMT 15 4.0 NUM 3039 3042
0.00 35,405 321,259,180

$12 - $87 6 32,001
$88 - $153 5 50,515
$154 - $341 6 44,659
$342 - $4,437 5 36,896
TOTAL 35,427 321,423,251
OBNOSR15 NRS/PR OFF VSTS-OTH UNCLASS SRCE AMT 15 4.0 NUM 3043 3046
0.00 35,313 320,200,542

$1 - $30 31 430,147
$31 - $99 27 287,138
$100 - $204 28 273,694
$205 - $3,312 28 231,730
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBNPTR15 NURSE/PRAC OFF VSTS - PRV & TRI AMT 15 5.0 NUM 3047 3051
0.00 33,648 297,254,934

$1 - $51 445 5,798,740
$52 - $107 447 6,271,732
$108 - $246 443 6,134,083
$247 - $31,695 444 5,963,763
TOTAL 35,427 321,423,251
OBNOTH15 NURSE/PRAC OFF VSTS-OTH COMBINED AMT 15 5.0 NUM 3052 3056
0.00 35,147 318,573,509

$1 - $30 72 808,726
$31 - $87 70 693,335
$88 - $199 68 738,517
$200 - $21,771 70 609,164
TOTAL 35,427 321,423,251
OBOPTO15 # OFF-BASED OPTOMETRIST VISITS 15 2.0 NUM 3057 3058
0 33,405 298,041,776
1 - 13 2,022 23,381,475
TOTAL 35,427 321,423,251
OBETCH15 OFFICE-BASED OPTOMTRIST VISIT CHARGES 15 5.0 NUM 3059 3063
0.00 33,410 298,111,682

$7 - $94 517 5,816,959
$95 - $150 523 5,835,942
$151 - $272 478 5,611,338
$273 - $10,506 499 6,047,330
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBEEXP15 TOTAL OFF-BASED OPTOMETRIST EXP 15 4.0 NUM 3064 3067
0.00 33,436 298,407,924

$5 - $75 505 5,499,873
$76 - $120 513 5,689,554
$121 - $210 476 5,700,080
$211 - $7,079 497 6,125,820
TOTAL 35,427 321,423,251
OBESLF15 OPTOMETRIST OFF VSTS-SELF/FAMILY AMT 15 4.0 NUM 3068 3071
0.00 34,115 305,220,537

$2 - $1,595 1,312 16,202,714
TOTAL 35,427 321,423,251
OBEMCR15 OPTOMETRIST OFF VSTS - MEDICARE AMT 15 3.0 NUM 3072 3074
0.00 35,278 319,660,928

$3 - $63 40 545,528
$64 - $92 35 419,644
$93 - $173 38 401,560
$174 - $835 36 395,591
TOTAL 35,427 321,423,251
OBEMCD15 OPTOMETRIST OFF VSTS - MEDICAID AMT 15 4.0 NUM 3075 3078
0.00 35,108 318,962,973

$3 - $58 80 648,282
$59 - $91 83 677,174
$92 - $155 77 511,581
$156 - $1,072 79 623,240
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBEPRV15 OPTOMETRIST OFF VSTS-PRIVATE INS AMT 15 4.0 NUM 3079 3082
0.00 34,467 309,113,338

$1 - $69 244 2,867,594
$70 - $110 242 3,181,229
$111 - $189 235 3,290,498
$190 - $6,837 239 2,970,592
TOTAL 35,427 321,423,251
OBEVA15 OPTOMETRIST OFF VSTS - VA/CHAMPVA AMT 15 4.0 NUM 3083 3086
0.00 35,401 321,151,597

$10 - $87 7 101,214
$88 - $129 6 39,296
$130 - $260 7 75,511
$261 - $2,464 6 55,632
TOTAL 35,427 321,423,251
OBETRI15 OPTOMETRIST OFF VSTS - TRICARE AMT 15 3.0 NUM 3087 3089
0.00 35,396 321,110,047

$20 - $521 31 313,203
TOTAL 35,427 321,423,251
OBEOFD15 OPTOMETRIST OFF VSTS-OTH FEDERAL AMT 15 3.0 NUM 3090 3092
0.00 35,418 321,323,090

$19 - $335 9 100,160
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBESTL15 OPTOMETRIST OFF VSTS-OTH ST/LOCL AMT 15 2.0 NUM 3093 3094
0.00 35,421 321,394,903

$31 - $90 6 28,348
TOTAL 35,427 321,423,251
OBEWCP15 OPTOMETRIST OFF VSTS-WORKERS COMP AMT 15 1.0 NUM 3095 3095
0.00 35,427 321,423,251

TOTAL 35,427 321,423,251
OBEOPR15 OPTOMETRIST OFF VSTS-OTH PRIVATE AMT 15 3.0 NUM 3096 3098
0.00 35,393 321,026,927

$11 - $75 9 88,690
$76 - $100 9 92,766
$101 - $215 8 88,845
$216 - $780 8 126,024
TOTAL 35,427 321,423,251
OBEOPU15 OPTOMETRIST OFF VSTS - OTH PUBLIC AMT 15 3.0 NUM 3099 3101
0.00 35,424 321,412,769

$22 - $147 3 10,482
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBEOSR15 OPTOM OFF VSTS-OTH UNCLASS SRCE AMT 15 3.0 NUM 3102 3104
0.00 35,418 321,303,280

$17 - $971 9 119,971
TOTAL 35,427 321,423,251
OBEPTR15 OPTOMETRIST OFF VSTS - PRV & TRI AMT 15 4.0 NUM 3105 3108
0.00 34,437 308,807,074

$1 - $69 252 2,970,134
$70 - $110 252 3,248,880
$111 - $189 242 3,345,599
$190 - $6,837 244 3,051,564
TOTAL 35,427 321,423,251
OBEOTH15 OPTOMETRIST OFF VSTS-OTH COMBINED AMT 15 3.0 NUM 3109 3111
0.00 35,367 320,771,708

$11 - $65 15 146,493
$66 - $98 15 146,193
$99 - $161 16 173,759
$162 - $971 14 185,098
TOTAL 35,427 321,423,251
OBASST15 # OFF-BASED PHYSICIAN ASSIST VISITS 15 2.0 NUM 3112 3113
0 34,149 304,114,590
1 - 41 1,278 17,308,661
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBATCH15 OFFICE-BASED PHYS ASST VISIT CHARGES 15 6.0 NUM 3114 3119
0.00 34,154 304,190,157

$3 - $150 329 4,307,455
$151 - $284 309 4,173,434
$285 - $626 317 4,348,532
$627 - $106,470 318 4,403,673
TOTAL 35,427 321,423,251
OBAEXP15 TOTAL OFF-BASED PHYS ASS T EXP 15 5.0 NUM 3120 3124
0.00 34,184 304,577,870

$2 - $90 319 4,279,847
$91 - $156 306 4,010,351
$157 - $344 309 4,163,893
$345 - $27,915 309 4,391,289
TOTAL 35,427 321,423,251
OBASLF15 PHYS ASS T OFF VSTS - SELF/FAMILY AMT 15 4.0 NUM 3125 3128
0.00 34,734 311,358,997

$1 - $20 176 2,286,980
$21 - $35 173 2,610,130
$36 - $82 171 2,525,809
$83 - $1,861 173 2,641,334
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBAMCR15 PHYS ASS T OFF VSTS - MEDICARE AMT 15 4.0 NUM 3129 3132
0.00 35,100 316,853,467

$5 - $62 84 1,193,431
$63 - $126 81 1,107,389
$127 - $274 81 1,198,451
$275 - $4,800 81 1,070,513
TOTAL 35,427 321,423,251
OBAMCD15 PHYS ASS T OFF VSTS - MEDICAID AMT 15 4.0 NUM 3133 3136
0.00 35,229 319,594,289

$2 - $52 51 443,291
$53 - $109 49 529,342
$110 - $262 49 443,466
$263 - $6,197 49 412,862
TOTAL 35,427 321,423,251
OBAPRV15 PHYS ASS T OFF VSTS - PRIVATE INS AMT 15 5.0 NUM 3137 3141
0.00 34,751 311,255,046

$1 - $56 173 2,617,143
$57 - $119 167 2,576,463
$120 - $236 168 2,387,531
$237 - $27,915 168 2,587,068
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBAVA15 PHYS ASS T OFF VSTS - VA/CHAMPVA AMT 15 4.0 NUM 3142 3145
0.00 35,401 321,107,918

$13 - $88 7 64,279
$89 - $189 6 72,053
$190 - $439 7 94,166
$440 - $4,345 6 84,835
TOTAL 35,427 321,423,251
OBATRI15 PHYS ASS T OFF VSTS - TRICARE AMT 15 4.0 NUM 3146 3149
0.00 35,384 320,808,223

$12 - $35 11 183,811
$36 - $79 12 178,311
$80 - $156 10 123,443
$157 - $1,148 10 129,463
TOTAL 35,427 321,423,251
OBAOFD15 PHYS ASS T OFF VSTS - OTHER FED AMT 15 3.0 NUM 3150 3152
0.00 35,416 321,276,947

$12 - $140 11 146,304
TOTAL 35,427 321,423,251
OBASTL15 PHYS ASS T OFF VSTS - OTH ST/LOCL AMT 15 3.0 NUM 3153 3155
0.00 35,422 321,379,598

$15 - $128 5 43,653
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBAWCP15 PHYS ASS T OFF VSTS-WORKERS COMP AMT 15 4.0 NUM 3156 3159
0.00 35,419 321,363,887

$23 - $1,036 8 59,364
TOTAL 35,427 321,423,251
OBAOPR15 PHYS ASS T OFF VSTS - OTH PRIVATE AMT 15 4.0 NUM 3160 3163
0.00 35,378 320,759,389

$1 - $21 13 177,927
$22 - $79 12 184,765
$80 - $173 12 117,901
$174 - $1,148 12 183,269
TOTAL 35,427 321,423,251
OBAOPU15 PHYS ASS T OFF VSTS - OTH PUBLIC AMT 15 3.0 NUM 3164 3166
0.00 35,420 321,368,069

$30 - $426 7 55,182
TOTAL 35,427 321,423,251
OBAOSR15 P A OFF VSTS - OTH UNCLASS SRCE AMT 15 3.0 NUM 3167 3169
0.00 35,400 321,056,688

$8 - $36 7 155,346
$37 - $82 7 58,394
$83 - $178 7 66,161
$179 - $976 6 86,662
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBAPTR15 PHYS ASST OFF VSTS - PRV & TRI AMT 15 5.0 NUM 3170 3174
0.00 34,717 310,787,927

$1 - $56 180 2,699,221
$57 - $115 176 2,705,080
$116 - $235 178 2,546,097
$236 - $27,915 176 2,684,926
TOTAL 35,427 321,423,251
OBAOTH15 PHYS ASST OFF VSTS - OTH COMBINED AMT 15 4.0 NUM 3175 3178
0.00 35,333 320,191,756

$1 - $30 24 378,465
$31 - $83 23 267,423
$84 - $172 24 254,005
$173 - $1,148 23 331,602
TOTAL 35,427 321,423,251
OBTHER15 # OFF-BASED PT/OT VISITS 15 3.0 NUM 3179 3181
0 34,234 307,071,471
1 - 241 1,193 14,351,780
TOTAL 35,427 321,423,251
OBTTCH15 OFFICE-BASED PT/OC VISIT CHARGES 15 5.0 NUM 3182 3186
0.00 34,234 307,071,471

$25 - $566 299 3,434,524
$567 - $1,383 298 3,416,926
$1,384 - $3,053 298 3,827,922
$3,054 - $84,467 298 3,672,408
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBTEXP15 TOT OFF-BASED PT EXP 15 5.0 NUM 3187 3191
0.00 34,250 307,212,745

$17 - $328 297 3,313,524
$329 - $772 292 3,435,177
$773 - $1,680 294 3,823,999
$1,681 - $61,368 294 3,637,806
TOTAL 35,427 321,423,251
OBTSLF15 PT/OT OFF VISITS - SELF/FAMILY AMT 15 4.0 NUM 3192 3195
0.00 34,914 314,331,363

$1 - $60 141 1,927,320
$61 - $148 116 1,484,943
$149 - $385 128 1,837,618
$386 - $4,820 128 1,842,007
TOTAL 35,427 321,423,251
OBTMCR15 PT/OT OFF VISITS - MEDICARE AMT 15 5.0 NUM 3196 3200
0.00 35,089 317,201,844

$8 - $216 86 1,158,590
$217 - $589 83 931,268
$590 - $1,263 85 1,116,698
$1,264 - $15,439 84 1,014,850
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBTMCD15 PT/OT OFF VISITS - MEDICAID AMT 15 5.0 NUM 3201 3205
0.00 35,207 319,682,996

$4 - $231 55 379,195
$232 - $555 55 382,914
$556 - $1,463 55 533,650
$1,464 - $12,511 55 444,497
TOTAL 35,427 321,423,251
OBTPRV15 PT/OT OFF VISITS - PRIVATE INS AMT 15 5.0 NUM 3206 3210
0.00 34,822 312,970,101

$1 - $189 152 2,062,404
$190 - $459 151 2,106,797
$460 - $1,040 151 2,109,520
$1,041 - $47,313 151 2,174,429
TOTAL 35,427 321,423,251
OBTVA15 PT/OT OFF VISITS - VA/CHAMPVA AMT 15 5.0 NUM 3211 3215
0.00 35,394 321,062,196

$8 - $584 9 94,273
$585 - $827 8 60,398
$828 - $1,439 8 87,208
$1,440 - $30,852 8 119,177
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBTTRI15 PT/OT OFF VISITS - TRICARE AMT 15 4.0 NUM 3216 3219
0.00 35,397 321,122,437

$11 - $215 8 70,202
$216 - $368 7 88,778
$369 - $1,019 8 55,712
$1,020 - $9,997 7 86,122
TOTAL 35,427 321,423,251
OBTOFD15 PT/OT OFF VISITS - OTHER FED AMT 15 4.0 NUM 3220 3223
0.00 35,422 321,351,199

$184 - $1,953 5 72,052
TOTAL 35,427 321,423,251
OBTSTL15 PT/OT OFF VISITS - OTH ST/LOCL AMT 15 3.0 NUM 3224 3226
0.00 35,425 321,415,620

$5 - $651 2 7,631
TOTAL 35,427 321,423,251
OBTWCP15 PT/OT OFF VISITS - WORKERS COMP AMT 15 5.0 NUM 3227 3231
0.00 35,365 320,686,097

$57 - $448 17 170,118
$449 - $1,089 14 152,486
$1,090 - $2,465 16 193,057
$2,466 - $17,579 15 221,493
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBTOPR15 PT/OT OFF VISITS - OTH PRIVATE AMT 15 4.0 NUM 3232 3235
0.00 35,380 320,829,077

$12 - $96 12 129,134
$97 - $250 12 188,215
$251 - $439 12 179,624
$440 - $2,483 11 97,200
TOTAL 35,427 321,423,251
OBTOPU15 PT/OT OFF VISITS - OTH PUBLIC AMT 15 3.0 NUM 3236 3238
0.00 35,420 321,366,126

$21 - $716 7 57,124
TOTAL 35,427 321,423,251
OBTOSR15 PT/OT OFF VSTS-OTH UNCLASS SRCE AMT 15 5.0 NUM 3239 3243
0.00 35,395 321,156,182

$9 - $82 8 59,167
$83 - $480 8 67,778
$481 - $1,456 8 80,278
$1,457 - $14,055 8 59,845
TOTAL 35,427 321,423,251
OBTPTR15 PT/OT OFF VISITS - PRV & TRI AMT 15 5.0 NUM 3244 3248
0.00 34,797 312,712,609

$1 - $189 158 2,109,523
$190 - $461 157 2,189,818
$462 - $1,045 158 2,157,031
$1,046 - $47,313 157 2,254,269
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OBTOTH15 PT/OT OFF VISITS - OTH COMBINED AMT 15 5.0 NUM 3249 3253
0.00 35,339 320,467,120

$5 - $131 22 229,736
$132 - $340 22 251,650
$341 - $592 22 272,451
$593 - $14,055 22 202,294
TOTAL 35,427 321,423,251
OPTOTV15 # OUTPATIENT DEPT PROVIDER VISITS 15 3.0 NUM 3254 3256
0 30,709 269,478,743
1 - 248 4,718 51,944,508
TOTAL 35,427 321,423,251
OPTTCH15 OPD FACILITY + DR VISIT CHARGES - 15 6.0 NUM 3257 3262
0.00 30,718 269,588,516

$8 - $545 1,178 12,595,397
$546 - $1,890 1,177 12,668,832
$1,891 - $7,591 1,177 13,001,353
$7,592 - $633,493 1,177 13,569,153
TOTAL 35,427 321,423,251
OPTEXP15 TOTAL OUTPATIENT FAC + DR EXP 15 6.0 NUM 3263 3268
0.00 30,800 270,344,014

$1 - $180 1,165 11,756,706
$181 - $568 1,151 12,853,561
$569 - $2,071 1,155 12,627,507
$2,072 - $134,843 1,156 13,841,463
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPTSLF15 ALL OPD VSTS-SELF/FAMILY AMT-(FAC+DR) 15 5.0 NUM 3269 3273
0.00 33,480 297,121,332

$1 - $30 510 5,896,786
$31 - $87 465 5,487,894
$88 - $278 487 6,139,501
$279 - $79,000 485 6,777,738
TOTAL 35,427 321,423,251
OPTMCR15 ALL OPD VSTS-MEDICARE AMT-(FAC+DR) 15 6.0 NUM 3274 3279
0.00 33,958 304,173,629

$2 - $129 369 4,188,085
$130 - $406 366 4,417,791
$407 - $1,350 367 4,343,641
$1,351 - $128,252 367 4,300,105
TOTAL 35,427 321,423,251
OPTMCD15 ALL OPD VSTS-MEDICAID AMT-(FAC+DR) 15 5.0 NUM 3280 3284
0.00 34,252 312,475,542

$1 - $81 295 2,327,415
$82 - $247 293 2,105,004
$248 - $894 294 2,198,476
$895 - $85,911 293 2,316,814
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPTPRV15 ALL OPD VSTS-PRIV INS AMT-(FAC+DR) 15 5.0 NUM 3285 3289
0.00 33,153 291,563,482

$1 - $135 572 7,519,190
$136 - $424 567 7,280,132
$425 - $1,774 567 7,451,429
$1,775 - $83,416 568 7,609,018
TOTAL 35,427 321,423,251
OPTVA15 ALL OPD VSTS-VA/CHAMPVA AMT-(FAC+DR) 15 5.0 NUM 3290 3294
0.00 35,233 319,350,716

$9 - $233 49 526,076
$234 - $726 48 516,856
$727 - $1,699 49 454,369
$1,700 - $49,643 48 575,234
TOTAL 35,427 321,423,251
OPTTRI15 ALL OPD VSTS-TRICARE AMT-(FAC+DR) 15 5.0 NUM 3295 3299
0.00 35,313 320,076,406

$8 - $81 29 388,059
$82 - $232 28 283,596
$233 - $1,003 29 342,550
$1,004 - $42,798 28 332,640
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPTOFD15 ALL OPD VSTS-OTHER FED AMT-(FAC+DR) 15 5.0 NUM 3300 3304
0.00 35,395 321,082,169

$14 - $250 8 62,612
$251 - $1,005 8 82,758
$1,006 - $3,165 8 99,440
$3,166 - $39,962 8 96,272
TOTAL 35,427 321,423,251
OPTSTL15 ALL OPD VST-OTH ST/LOCAL AMT(FAC+DR) 15 5.0 NUM 3305 3309
0.00 35,380 321,047,462

$3 - $75 12 98,453
$76 - $165 12 79,329
$166 - $462 12 71,121
$463 - $14,591 11 126,886
TOTAL 35,427 321,423,251
OPTWCP15 ALL OPD VST-WORKRS COMP AMT-(FAC+DR) 15 5.0 NUM 3310 3314
0.00 35,380 320,884,391

$1 - $206 12 123,444
$207 - $713 12 98,704
$714 - $3,432 12 176,370
$3,433 - $12,940 11 140,343
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPTOPR15 ALL OPD VSTS-OTH PRIVATE AMT-(FAC+DR) 15 5.0 NUM 3315 3319
0.00 35,145 318,828,099

$2 - $54 71 744,159
$55 - $172 70 534,074
$173 - $654 71 675,556
$655 - $20,127 70 641,364
TOTAL 35,427 321,423,251
OPTOPU15 ALL OPD VSTS-OTH PUBLIC AMT-(FAC+DR) 15 5.0 NUM 3320 3324
0.00 35,370 321,045,038

$2 - $72 15 141,292
$73 - $126 14 86,268
$127 - $632 14 65,309
$633 - $16,496 14 85,344
TOTAL 35,427 321,423,251
OPTOSR15 ALL OPD VST-OTH UNCLS SRC AMT(FAC+DR) 15 5.0 NUM 3325 3329
0.00 35,099 318,184,580

$1 - $55 84 929,838
$56 - $182 80 701,378
$183 - $618 82 793,614
$619 - $66,862 82 813,842
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPTPTR15 ALL OPD VISITS-PRV & TRI AMT (FAC+DR) 15 5.0 NUM 3330 3334
0.00 33,086 290,846,897

$1 - $136 587 7,664,436
$137 - $425 584 7,442,093
$426 - $1,770 585 7,662,662
$1,771 - $83,416 585 7,807,163
TOTAL 35,427 321,423,251
OPTOTH15 ALL OPD VSTS-OTH COMBINED AMT(FAC+DR) 15 5.0 NUM 3335 3339
0.00 34,767 315,201,542

$1 - $63 166 1,801,951
$64 - $187 166 1,257,953
$188 - $752 163 1,593,452
$753 - $67,050 165 1,568,354
TOTAL 35,427 321,423,251
OPFTCH15 OPD PROVIDER VISIT CHARGES - FAC 15 6.0 NUM 3340 3345
0.00 30,722 269,615,378

$8 - $456 1,177 12,459,820
$457 - $1,559 1,176 12,945,335
$1,560 - $6,363 1,177 13,043,196
$6,364 - $631,064 1,175 13,359,521
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPFEXP15 TOTAL OUTPATIENT FACILITY EXP 15 6.0 NUM 3346 3351
0.00 30,852 270,836,781

$1 - $153 1,145 11,649,605
$154 - $481 1,144 12,762,839
$482 - $1,723 1,143 12,632,990
$1,724 - $134,736 1,143 13,541,036
TOTAL 35,427 321,423,251
OPFSLF15 ALL OPD VISITS-SELF/FAMILY AMT-FAC 15 5.0 NUM 3352 3356
0.00 33,686 299,507,395

$1 - $30 451 5,212,208
$31 - $85 423 4,973,840
$86 - $265 432 5,572,928
$266 - $79,000 435 6,156,880
TOTAL 35,427 321,423,251
OPFMCR15 ALL OPD VISITS-MEDICARE AMT-FAC 15 6.0 NUM 3357 3362
0.00 34,065 305,610,141

$2 - $108 341 3,823,497
$109 - $342 341 4,114,043
$343 - $1,207 340 3,827,263
$1,208 - $128,146 340 4,048,307
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPFMCD15 ALL OPD VISITS-MEDICAID AMT-FAC 15 5.0 NUM 3363 3367
0.00 34,378 313,572,451

$1 - $82 265 1,998,030
$83 - $250 260 1,956,749
$251 - $858 262 1,791,508
$859 - $85,815 262 2,104,513
TOTAL 35,427 321,423,251
OPFPRV15 ALL OPD VISITS-PRIV INS AMT-FAC 15 5.0 NUM 3368 3372
0.00 33,319 293,877,455

$1 - $129 529 6,791,431
$130 - $391 526 6,830,571
$392 - $1,604 526 6,901,425
$1,605 - $82,756 527 7,022,369
TOTAL 35,427 321,423,251
OPFVA15 ALL OPD VISITS-VA/CHAMPVA AMT-FAC 15 5.0 NUM 3373 3377
0.00 35,242 319,432,988

$10 - $257 47 521,378
$258 - $759 46 477,828
$760 - $1,714 46 442,196
$1,715 - $48,149 46 548,861
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPFTRI15 ALL OPD VISITS-TRICARE AMT-FAC 15 5.0 NUM 3378 3382
0.00 35,331 320,372,393

$11 - $91 24 278,441
$92 - $274 24 218,265
$275 - $1,007 24 262,840
$1,008 - $42,798 24 291,311
TOTAL 35,427 321,423,251
OPFOFD15 ALL OPD VISITS-OTHER FED AMT-FAC 15 5.0 NUM 3383 3387
0.00 35,397 321,088,057

$14 - $274 8 77,944
$275 - $1,152 7 78,288
$1,153 - $3,475 8 90,608
$3,476 - $39,962 7 88,354
TOTAL 35,427 321,423,251
OPFSTL15 ALL OPD VISITS-OTH ST/LOCAL AMT-FAC 15 5.0 NUM 3388 3392
0.00 35,391 321,131,048

$3 - $60 10 75,064
$61 - $165 9 75,481
$166 - $497 8 48,688
$498 - $12,882 9 92,970
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPFWCP15 ALL OPD VISITS-WORKERS COMP AMT-FAC 15 5.0 NUM 3393 3397
0.00 35,384 320,909,621

$6 - $206 11 123,900
$207 - $574 11 96,787
$575 - $2,891 11 169,388
$2,892 - $12,409 10 123,556
TOTAL 35,427 321,423,251
OPFOPR15 ALL OPD VISITS - OTH PRIVATE AMT-FAC 15 5.0 NUM 3398 3402
0.00 35,213 319,368,307

$7 - $57 54 582,255
$58 - $177 53 441,713
$178 - $658 54 551,317
$659 - $19,312 53 479,660
TOTAL 35,427 321,423,251
OPFOPU15 ALL OPD VISITS - OTH PUBLIC AMT-FAC 15 5.0 NUM 3403 3407
0.00 35,392 321,211,000

$16 - $89 9 66,104
$90 - $172 9 47,863
$173 - $1,122 9 48,184
$1,123 - $16,432 8 50,100
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPFOSR15 ALL OPD VSTS-OTH UNCLASS SRCE AMT-FAC 15 5.0 NUM 3408 3412
0.00 35,203 319,261,026

$1 - $64 56 585,277
$65 - $227 56 551,390
$228 - $860 56 474,327
$861 - $66,862 56 551,231
TOTAL 35,427 321,423,251
OPFPTR15 ALL OPD VISITS - PRV & TRI AMT-FAC 15 5.0 NUM 3413 3417
0.00 33,234 292,979,952

$1 - $127 549 6,945,384
$128 - $391 551 7,100,672
$392 - $1,576 546 7,149,544
$1,577 - $82,756 547 7,247,700
TOTAL 35,427 321,423,251
OPFOTH15 ALL OPD VISITS - OTH COMBINED AMT-FAC 15 5.0 NUM 3418 3422
0.00 34,920 316,631,501

$1 - $80 127 1,321,253
$81 - $223 127 1,087,465
$224 - $866 128 1,231,675
$867 - $66,862 125 1,151,357
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPDEXP15 TOTAL OUTPATIENT PROVIDER EXP 15 5.0 NUM 3423 3427
0.00 32,953 293,535,451

$2 - $69 621 6,721,241
$70 - $201 620 6,782,573
$202 - $654 617 6,543,871
$655 - $30,068 616 7,840,114
TOTAL 35,427 321,423,251
OPDTCH15 OPD PROVIDER VISIT CHARGES - DR 15 5.0 NUM 3428 3432
0.00 32,836 292,328,475

$12 - $198 649 7,172,976
$199 - $593 649 7,219,348
$594 - $2,101 646 7,060,936
$2,102 - $50,435 647 7,641,516
TOTAL 35,427 321,423,251
OPDSLF15 ALL OPD VISITS-SELF/FAMILY AMT-DR 15 5.0 NUM 3433 3437
0.00 34,780 312,930,724

$2 - $20 181 2,321,895
$21 - $47 146 2,026,038
$48 - $150 161 2,052,779
$151 - $14,134 159 2,091,815
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPDMCR15 ALL OPD VISITS-MEDICARE AMT-DR 15 5.0 NUM 3438 3442
0.00 34,528 310,984,546

$1 - $50 226 2,606,824
$51 - $140 224 2,587,763
$141 - $407 225 2,558,432
$408 - $17,965 224 2,685,686
TOTAL 35,427 321,423,251
OPDMCD15 ALL OPD VISITS-MEDICAID AMT-DR 15 4.0 NUM 3443 3446
0.00 34,842 317,012,430

$1 - $39 149 1,160,706
$40 - $98 144 1,063,917
$99 - $294 146 1,018,349
$295 - $3,343 146 1,167,848
TOTAL 35,427 321,423,251
OPDPRV15 ALL OPD VISITS-PRIV INS AMT-DR 15 5.0 NUM 3447 3451
0.00 34,227 305,175,137

$1 - $55 303 4,247,149
$56 - $173 301 3,898,583
$174 - $624 296 3,880,979
$625 - $26,186 300 4,221,403
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPDVA15 ALL OPD VISITS-VA/CHAMPVA AMT-DR 15 4.0 NUM 3452 3455
0.00 35,399 321,146,244

$2 - $36 8 69,167
$37 - $96 6 45,204
$97 - $320 7 92,140
$321 - $1,494 7 70,495
TOTAL 35,427 321,423,251
OPDTRI15 ALL OPD VISITS-TRICARE AMT-DR 15 4.0 NUM 3456 3459
0.00 35,382 320,818,040

$3 - $20 13 199,236
$21 - $62 11 129,827
$63 - $188 12 120,595
$189 - $1,138 9 155,552
TOTAL 35,427 321,423,251
OPDOFD15 ALL OPD VISITS-OTHER FED AMT-DR 15 2.0 NUM 3460 3461
0.00 35,424 321,409,234

$1 - $33 3 14,017
TOTAL 35,427 321,423,251
OPDSTL15 ALL OPD VISITS-OTH ST/LOCAL AMT-DR 15 4.0 NUM 3462 3465
0.00 35,414 321,328,880

$17 - $1,708 13 94,371
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPDWCP15 ALL OPD VISITS-WORKERS COMP AMT-DR 15 4.0 NUM 3466 3469
0.00 35,402 321,144,365

$1 - $193 7 80,673
$194 - $531 6 48,117
$532 - $1,264 6 66,582
$1,265 - $4,253 6 83,515
TOTAL 35,427 321,423,251
OPDOPR15 ALL OPD VISITS - OTH PRIVATE AMT-DR 15 4.0 NUM 3470 3473
0.00 35,288 320,152,024

$1 - $28 35 442,024
$29 - $91 35 335,039
$92 - $256 35 243,264
$257 - $5,767 34 250,899
TOTAL 35,427 321,423,251
OPDOPU15 ALL OPD VISITS-OTH PUBLIC AMT-DR 15 4.0 NUM 3474 3477
0.00 35,393 321,211,513

$1 - $7 9 92,356
$8 - $70 8 23,907
$71 - $330 10 69,562
$331 - $1,552 7 25,914
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPDOSR15 ALL OPD VSTS-OTH UNCLASS SRCE AMT-DR 15 4.0 NUM 3478 3481
0.00 35,309 320,242,084

$1 - $37 30 341,732
$38 - $93 29 258,940
$94 - $291 30 220,756
$292 - $2,199 29 359,740
TOTAL 35,427 321,423,251
OPDPTR15 ALL OPD VISITS-PRV & TRI AMT -DR 15 5.0 NUM 3482 3486
0.00 34,189 304,682,322

$1 - $54 310 4,315,442
$55 - $169 311 4,004,671
$170 - $615 308 4,068,461
$616 - $26,186 309 4,352,355
TOTAL 35,427 321,423,251
OPDOTH15 ALL OPD VISITS-OTH COMBINED AMT-DR 15 4.0 NUM 3487 3490
0.00 35,148 318,864,341

$1 - $36 71 791,535
$37 - $101 69 616,498
$102 - $299 70 496,438
$300 - $5,767 69 654,438
TOTAL 35,427 321,423,251
OPDRV15 # OUTPATIENT DEPT PHYSICIAN VISITS 15 2.0 NUM 3491 3492
0 32,522 290,817,984
1 - 48 2,905 30,605,267
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPVTCH15 OPD PHYSICIAN VISIT CHARGES - FAC 15 6.0 NUM 3493 3498
0.00 32,535 290,952,169

$11 - $447 723 7,214,364
$448 - $1,951 723 7,111,404
$1,952 - $8,309 723 7,892,232
$8,310 - $251,486 723 8,253,082
TOTAL 35,427 321,423,251
OPVEXP15 TOTAL OUTPATIENT PHYSICIAN - FAC EXP 15 6.0 NUM 3499 3504
0.00 32,615 291,669,876

$1 - $171 704 6,806,273
$172 - $598 704 6,816,604
$599 - $2,203 702 7,641,822
$2,204 - $115,482 702 8,488,675
TOTAL 35,427 321,423,251
OPVSLF15 OPD DR VISITS-SELF/FAMILY AMT-FAC 15 5.0 NUM 3505 3509
0.00 34,367 308,169,279

$1 - $30 282 3,166,349
$31 - $80 249 2,941,165
$81 - $282 264 3,343,460
$283 - $79,000 265 3,802,997
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPVMCR15 OPD DR VISITS-MEDICARE AMT-FAC 15 6.0 NUM 3510 3515
0.00 34,698 313,279,966

$3 - $142 183 2,080,541
$143 - $610 182 1,906,037
$611 - $1,721 182 2,088,742
$1,722 - $105,177 182 2,067,965
TOTAL 35,427 321,423,251
OPVMCD15 OPD DR VISITS-MEDICAID AMT-FAC 15 5.0 NUM 3516 3520
0.00 34,718 316,408,598

$2 - $91 178 1,283,085
$92 - $266 177 1,197,042
$267 - $949 177 1,217,352
$950 - $84,746 177 1,317,175
TOTAL 35,427 321,423,251
OPVPRV15 OPD DR VISITS-PRIV INS AMT-FAC 15 5.0 NUM 3521 3525
0.00 34,191 305,510,675

$1 - $148 315 3,797,405
$149 - $540 303 3,845,844
$541 - $2,645 309 4,119,428
$2,646 - $82,756 309 4,149,900
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPVVA15 OPD DR VISITS-VA/CHAMPVA AMT-FAC 15 5.0 NUM 3526 3530
0.00 35,290 319,995,682

$16 - $275 38 396,171
$276 - $711 31 290,726
$712 - $1,692 34 338,336
$1,693 - $24,616 34 402,336
TOTAL 35,427 321,423,251
OPVTRI15 OPD DR VISITS-TRICARE AMT-FAC 15 5.0 NUM 3531 3535
0.00 35,369 320,780,295

$31 - $115 15 163,327
$116 - $274 14 150,350
$275 - $963 15 162,371
$964 - $42,798 14 166,908
TOTAL 35,427 321,423,251
OPVOFD15 OPD DR VISITS-OTHER FED AMT-FAC 15 5.0 NUM 3536 3540
0.00 35,407 321,198,420

$14 - $309 5 36,092
$310 - $1,708 5 65,150
$1,709 - $9,007 5 69,096
$9,008 - $39,067 5 54,493
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPVSTL15 OPD DR VISITS-OTH ST/LOCAL AMT-FAC 15 5.0 NUM 3541 3545
0.00 35,404 321,231,535

$3 - $60 6 40,767
$61 - $199 6 49,282
$200 - $600 6 64,719
$601 - $12,882 5 36,948
TOTAL 35,427 321,423,251
OPVWCP15 OPD DR VISITS-WORKERS COMP AMT-FAC 15 4.0 NUM 3546 3549
0.00 35,398 321,076,684

$6 - $212 8 54,400
$213 - $724 7 60,667
$725 - $2,286 7 125,556
$2,287 - $6,229 7 105,944
TOTAL 35,427 321,423,251
OPVOPR15 OPD DR VISITS - OTH PRIVATE AMT-FAC 15 4.0 NUM 3550 3553
0.00 35,306 320,341,122

$7 - $76 31 355,035
$77 - $213 30 194,573
$214 - $745 30 323,205
$746 - $9,334 30 209,315
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPVOPU15 OPD DR VISITS-OTH PUBLIC AMT-FAC 15 5.0 NUM 3554 3558
0.00 35,398 321,270,724

$16 - $91 8 37,302
$92 - $217 7 33,360
$218 - $1,122 7 38,184
$1,123 - $16,432 7 43,680
TOTAL 35,427 321,423,251
OPVOSR15 OPD DR VSTS-OTH UNCLASS SRCE AMT-FAC 15 4.0 NUM 3559 3562
0.00 35,304 320,295,760

$1 - $103 31 275,218
$104 - $411 31 286,710
$412 - $1,318 31 291,398
$1,319 - $9,962 30 274,165
TOTAL 35,427 321,423,251
OPVPTR15 OPD DR VISITS - PRV & TRI AMT-FAC 15 5.0 NUM 3563 3567
0.00 34,140 304,974,741

$1 - $148 330 3,956,115
$149 - $520 314 3,883,451
$521 - $2,565 322 4,317,923
$2,566 - $82,756 321 4,291,021
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPVOTH15 OPD DR VISITS - OTH COMBINED AMT-FAC 15 5.0 NUM 3568 3572
0.00 35,130 318,772,544

$1 - $101 75 702,514
$102 - $353 74 572,908
$354 - $1,130 74 712,882
$1,131 - $39,067 74 662,402
TOTAL 35,427 321,423,251
OPSEXP15 TOTAL OUTPATIENT PHYSICIAN - DR EXP 15 5.0 NUM 3573 3577
0.00 33,974 305,607,914

$1 - $116 365 3,395,452
$117 - $376 363 3,704,355
$377 - $909 364 3,996,048
$910 - $17,965 361 4,719,481
TOTAL 35,427 321,423,251
OPSTCH15 OPD PHYSICIAN VISIT CHARGES - DR 15 5.0 NUM 3578 3582
0.00 33,907 304,900,717

$22 - $361 382 3,713,326
$362 - $1,236 378 4,024,378
$1,237 - $3,110 380 4,351,914
$3,111 - $30,341 380 4,432,916
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPSSLF15 OPD DR VISITS-SELF/FAMILY AMT-DR 15 5.0 NUM 3583 3587
0.00 35,032 316,255,510

$2 - $25 111 1,371,872
$26 - $65 87 1,195,181
$66 - $220 100 1,250,088
$221 - $14,000 97 1,350,600
TOTAL 35,427 321,423,251
OPSMCR15 OPD DR VISITS-MEDICARE AMT-DR 15 5.0 NUM 3588 3592
0.00 34,947 316,179,730

$1 - $90 123 1,199,604
$91 - $263 117 1,293,935
$264 - $611 121 1,269,950
$612 - $17,965 119 1,480,031
TOTAL 35,427 321,423,251
OPSMCD15 OPD DR VISITS-MEDICAID AMT-DR 15 4.0 NUM 3593 3596
0.00 35,045 318,742,660

$1 - $50 100 678,851
$51 - $129 91 640,364
$130 - $406 96 622,537
$407 - $3,343 95 738,838
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPSPRV15 OPD DR VISITS-PRIV INS AMT-DR 15 5.0 NUM 3597 3601
0.00 34,730 312,096,740

$1 - $104 179 2,290,685
$105 - $391 170 2,206,021
$392 - $933 174 2,286,303
$934 - $11,231 174 2,543,502
TOTAL 35,427 321,423,251
OPSVA15 OPD DR VISITS-VA/CHAMPVA AMT-DR 15 3.0 NUM 3602 3604
0.00 35,416 321,303,529

$30 - $392 11 119,722
TOTAL 35,427 321,423,251
OPSTRI15 OPD DR VISITS-TRICARE AMT-DR 15 4.0 NUM 3605 3608
0.00 35,402 321,090,229

$17 - $41 7 110,018
$42 - $167 6 58,633
$168 - $224 6 48,826
$225 - $1,138 6 115,544
TOTAL 35,427 321,423,251
OPSOFD15 OPD DR VISITS-OTHER FED AMT-DR 15 2.0 NUM 3609 3610
0.00 35,426 321,420,584

$1 - $33 1 2,667
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPSSTL15 OPD DR VISITS-OTH ST/LOCAL AMT-DR 15 4.0 NUM 3611 3614
0.00 35,420 321,353,935

$149 - $1,708 7 69,316
TOTAL 35,427 321,423,251
OPSWCP15 OPD DR VISITS-WORKERS COMP AMT-DR 15 4.0 NUM 3615 3618
0.00 35,411 321,225,193

$44 - $153 4 56,252
$154 - $484 4 35,588
$485 - $1,871 4 43,263
$1,872 - $4,253 4 62,956
TOTAL 35,427 321,423,251
OPSOPR15 OPD DR VISITS - OTH PRIVATE AMT-DR 15 4.0 NUM 3619 3622
0.00 35,336 320,628,234

$3 - $32 23 204,042
$33 - $100 23 236,100
$101 - $359 23 184,069
$360 - $5,767 22 170,806
TOTAL 35,427 321,423,251
OPSOPU15 OPD DR VISITS-OTH PUBLIC AMT-DR 15 4.0 NUM 3623 3626
0.00 35,403 321,305,494

$1 - $28 6 20,317
$29 - $96 6 43,550
$97 - $330 7 38,318
$331 - $1,552 5 15,573
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPSOSR15 OPD DR VSTS-OTH UNCLASS SRCE AMT-DR 15 4.0 NUM 3627 3630
0.00 35,360 320,721,606

$2 - $67 19 210,421
$68 - $217 15 108,241
$218 - $389 17 164,491
$390 - $2,199 16 218,492
TOTAL 35,427 321,423,251
OPSPTR15 OPD DR VISITS - PRV & TRI AMT-DR 15 5.0 NUM 3631 3635
0.00 34,707 311,813,696

$1 - $103 182 2,295,959
$104 - $377 178 2,311,434
$378 - $919 180 2,359,561
$920 - $11,231 180 2,642,601
TOTAL 35,427 321,423,251
OPSOTH15 OPD DR VISITS -OTH COMBINED AMT-DR 15 4.0 NUM 3636 3639
0.00 35,254 319,871,206

$1 - $52 44 423,939
$53 - $162 43 339,038
$163 - $398 43 421,649
$399 - $5,767 43 367,420
TOTAL 35,427 321,423,251
OPOTHV15 # OUTPATIENT DEPT NON-DR VISITS 15 3.0 NUM 3640 3642
0 32,823 290,325,690
1 - 137 2,604 31,097,561
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPOTCH15 OPD NON-PHYS VISIT CHARGES - FAC 15 6.0 NUM 3643 3648
0.00 32,827 290,364,017

$8 - $384 653 7,650,107
$385 - $951 648 7,867,176
$952 - $2,867 649 7,847,677
$2,868 - $630,373 650 7,694,274
TOTAL 35,427 321,423,251
OPOEXP15 TOTAL OUTPATIENT NON-DR - FAC EXP 15 6.0 NUM 3649 3654
0.00 32,899 291,144,785

$2 - $114 634 7,182,931
$115 - $284 634 7,389,557
$285 - $764 629 7,709,179
$765 - $134,736 631 7,996,799
TOTAL 35,427 321,423,251
OPOSLF15 OPD NON-DR VISITS-SELF/FAM AMT-FAC 15 4.0 NUM 3655 3658
0.00 34,599 310,383,426

$2 - $27 209 2,678,768
$28 - $70 215 2,673,678
$71 - $187 198 2,663,468
$188 - $5,424 206 3,023,911
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPOMCR15 OPD NON-DR VISITS-MEDICARE AMT-FAC 15 6.0 NUM 3659 3664
0.00 34,537 310,449,079

$2 - $87 226 2,764,865
$88 - $185 221 2,594,939
$186 - $506 221 2,915,935
$507 - $128,146 222 2,698,433
TOTAL 35,427 321,423,251
OPOMCD15 OPD NON-DR VISITS-MEDICAID AMT-FAC 15 5.0 NUM 3665 3669
0.00 34,968 317,625,927

$1 - $64 116 982,656
$65 - $153 114 848,455
$154 - $469 115 831,107
$470 - $85,815 114 1,135,106
TOTAL 35,427 321,423,251
OPOPRV15 OPD NON-DR VISITS-PRIV INS AMT-FAC 15 5.0 NUM 3670 3674
0.00 34,252 305,452,126

$1 - $95 294 3,969,665
$96 - $240 294 3,992,180
$241 - $700 295 4,023,451
$701 - $41,644 292 3,985,829
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPOVA15 OPD NON-DR VISITS-VA/CHAMPVA AMT-FAC 15 5.0 NUM 3675 3679
0.00 35,329 320,257,223

$6 - $175 25 298,809
$176 - $388 24 280,469
$389 - $977 25 322,426
$978 - $23,076 24 264,324
TOTAL 35,427 321,423,251
OPOTRI15 OPD NON-DR VISITS-TRICARE AMT-FAC 15 5.0 NUM 3680 3684
0.00 35,376 320,897,585

$11 - $74 13 131,997
$75 - $182 13 127,040
$183 - $997 13 125,080
$998 - $20,252 12 141,549
TOTAL 35,427 321,423,251
OPOOFD15 OPD NON-DR VISITS-OTHER FED AMT-FAC 15 5.0 NUM 3685 3689
0.00 35,410 321,220,950

$4 - $85 5 74,743
$86 - $254 4 32,408
$255 - $1,038 4 58,558
$1,039 - $37,722 4 36,593
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPOSTL15 OPD NON-DR VISITS-OTH ST/LOC AMT-FAC 15 4.0 NUM 3690 3693
0.00 35,412 321,308,522

$25 - $60 4 34,297
$61 - $165 4 30,200
$166 - $462 4 28,790
$463 - $1,380 3 21,442
TOTAL 35,427 321,423,251
OPOWCP15 OPD NON-DR VISITS-WRKRS COMP AMT-FAC 15 5.0 NUM 3694 3698
0.00 35,408 321,192,928

$9 - $108 5 89,848
$109 - $466 5 47,737
$467 - $1,897 5 56,587
$1,898 - $12,409 4 36,151
TOTAL 35,427 321,423,251
OPOOPR15 OPD NON-DR VISITS-OTH PRIVATE AMT-FAC 15 5.0 NUM 3699 3703
0.00 35,314 320,282,396

$7 - $35 29 277,434
$36 - $126 28 231,366
$127 - $307 28 338,804
$308 - $19,312 28 293,250
TOTAL 35,427 321,423,251
OPOOPU15 OPD NON-DR VISITS-OTH PUBLIC AMT-FAC 15 3.0 NUM 3704 3706
0.00 35,420 321,346,921

$46 - $488 7 76,330
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPOOSR15 OPD NON-DR VSTS-OT UNCLAS SRC AMT-FAC 15 4.0 NUM 3707 3710
0.00 35,303 320,168,491

$1 - $40 32 359,831
$41 - $133 31 308,706
$134 - $438 30 298,367
$439 - $6,160 31 287,855
TOTAL 35,427 321,423,251
OPOPTR15 OPD NON-DR VISITS - PRV & TRI AMT-FAC 15 5.0 NUM 3711 3715
0.00 34,205 304,972,792

$2 - $93 308 4,128,970
$94 - $235 304 4,029,903
$236 - $700 305 4,150,190
$701 - $41,644 305 4,141,396
TOTAL 35,427 321,423,251
OPOOTH15 OPD NON-DR VISITS-OTH COMBINED AM-FAC 15 5.0 NUM 3716 3720
0.00 35,159 318,732,218

$1 - $42 68 689,006
$43 - $137 66 612,552
$138 - $451 67 721,893
$452 - $37,722 67 667,583
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPPEXP15 TOTAL OUTPATIENT NON-DR - DR EXP 15 5.0 NUM 3721 3725
0.00 34,181 306,470,031

$3 - $44 319 3,692,499
$45 - $96 305 3,580,417
$97 - $210 313 3,849,722
$211 - $30,068 309 3,830,582
TOTAL 35,427 321,423,251
OPPTCH15 OPD NON-PHYS VISIT CHARGES - DR 15 5.0 NUM 3726 3730
0.00 34,121 305,902,761

$9 - $120 329 3,866,002
$121 - $255 325 3,773,658
$256 - $583 326 3,924,318
$584 - $50,435 326 3,956,512
TOTAL 35,427 321,423,251
OPPSLF15 OPD NON-DR VISITS-SELF/FAM AMT-DR 15 4.0 NUM 3731 3734
0.00 35,164 317,837,542

$2 - $14 66 856,945
$15 - $35 68 935,957
$36 - $68 64 950,809
$69 - $8,000 65 841,998
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPPMCR15 OPD NON-DR VISITS-MEDICARE AMT-DR 15 4.0 NUM 3735 3738
0.00 34,915 315,110,966

$1 - $37 145 1,820,194
$38 - $71 112 1,314,735
$72 - $161 128 1,620,936
$162 - $5,222 127 1,556,420
TOTAL 35,427 321,423,251
OPPMCD15 OPD NON-DR VISITS-MEDICAID AMT-DR 15 4.0 NUM 3739 3742
0.00 35,205 319,500,754

$1 - $24 56 512,511
$25 - $58 56 457,360
$59 - $129 55 432,352
$130 - $1,267 55 520,274
TOTAL 35,427 321,423,251
OPPPRV15 OPD NON-DR VISITS-PRIV INS AMT-DR 15 5.0 NUM 3743 3747
0.00 34,825 313,009,865

$1 - $32 153 2,137,875
$33 - $80 149 2,096,516
$81 - $167 150 2,115,062
$168 - $26,186 150 2,063,934
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPPVA15 OPD NON-DR VISITS-VA/CHAMPVA AMT-DR 15 3.0 NUM 3748 3750
0.00 35,411 321,270,961

$2 - $35 4 36,756
$36 - $68 4 39,446
$69 - $231 4 41,541
$232 - $688 4 34,547
TOTAL 35,427 321,423,251
OPPTRI15 OPD NON-DR VISITS-TRICARE AMT-DR 15 3.0 NUM 3751 3753
0.00 35,404 321,109,788

$3 - $268 23 313,463
TOTAL 35,427 321,423,251
OPPOFD15 OPD NON-DR VISITS-OTHER FED AMT-DR 15 2.0 NUM 3754 3755
0.00 35,425 321,411,900

$1 - $33 2 11,351
TOTAL 35,427 321,423,251
OPPSTL15 OPD NON-DR VISITS-OTH ST/LOC AMT-DR 15 3.0 NUM 3756 3758
0.00 35,421 321,398,196

$17 - $239 6 25,055
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPPWCP15 OPD NON-DR VISITS-WRKRS COMP AMT-DR 15 4.0 NUM 3759 3762
0.00 35,416 321,320,475

$1 - $1,264 11 102,775
TOTAL 35,427 321,423,251
OPPOPR15 OPD NON-DR VISITS-OTH PRIVATE AMT-DR 15 3.0 NUM 3763 3765
0.00 35,374 320,881,087

$1 - $20 14 196,786
$21 - $45 13 159,984
$46 - $111 13 91,020
$112 - $815 13 94,373
TOTAL 35,427 321,423,251
OPPOPU15 OPD NON-DR VISITS-OTH PUBLIC AMT-DR 15 3.0 NUM 3766 3768
0.00 35,418 321,332,438

$2 - $336 9 90,813
TOTAL 35,427 321,423,251
OPPOSR15 OPD NON-DR VSTS-OT UNCLAS SRC AMT-DR 15 4.0 NUM 3769 3772
0.00 35,371 320,895,612

$1 - $33 16 178,323
$34 - $67 13 151,025
$68 - $107 13 96,065
$108 - $2,199 14 102,226
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OPPPTR15 OPD NON-DR VISITS - PRV & TRI AMT-DR 15 5.0 NUM 3773 3777
0.00 34,805 312,729,425

$1 - $30 161 2,279,448
$31 - $76 151 2,113,603
$77 - $164 155 2,162,519
$165 - $26,186 155 2,138,256
TOTAL 35,427 321,423,251
OPPOTH15 OPD NON-DR VISITS-OTH COMBINED AMT-DR 15 4.0 NUM 3778 3781
0.00 35,311 320,310,964

$1 - $23 30 394,510
$24 - $59 29 349,552
$60 - $113 28 177,860
$114 - $2,199 29 190,365
TOTAL 35,427 321,423,251
AMCHIR15 # CHIROPRACTR VSTS (OFF+OUTPAT), 2015 3.0 NUM 3782 3784
0 34,183 305,167,577
1 - 104 1,244 16,255,674
TOTAL 35,427 321,423,251
AMCTCH15 CHIRO AMBULATORY VISIT CHARGES 15 5.0 NUM 3785 3789
0.00 34,184 305,170,537

$8 - $139 311 4,316,370
$140 - $363 311 4,161,585
$364 - $1,055 311 4,277,596
$1,056 - $35,850 310 3,497,163
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMCEXP15 TOTL AMBULTRY (OB+OP) CHIRO EXP 15 5.0 NUM 3790 3794
0.00 34,202 305,356,394

$3 - $114 308 4,286,581
$115 - $283 305 4,181,519
$284 - $801 306 3,990,658
$802 - $11,472 306 3,608,099
TOTAL 35,427 321,423,251
AMCSLF15 CHIRO AMB VISITS - SELF/FAMILY AMT 15 4.0 NUM 3795 3798
0.00 34,479 308,495,670

$3 - $45 241 3,465,927
$46 - $120 242 3,315,819
$121 - $310 229 3,010,810
$311 - $5,970 236 3,135,025
TOTAL 35,427 321,423,251
AMCMCR15 CHIRO AMB VISITS - MEDICARE AMT 15 4.0 NUM 3799 3802
0.00 35,286 319,540,588

$3 - $80 36 517,597
$81 - $210 35 427,772
$211 - $426 35 490,896
$427 - $6,132 35 446,398
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMCMCD15 CHIRO AMB VISITS - MEDICAID AMT 15 4.0 NUM 3803 3806
0.00 35,366 320,947,392

$17 - $106 16 126,790
$107 - $282 15 149,450
$283 - $683 15 124,046
$684 - $3,417 15 75,573
TOTAL 35,427 321,423,251
AMCPRV15 CHIRO AMB VISITS - PRIVATE INS AMT 15 5.0 NUM 3807 3811
0.00 34,773 312,236,207

$1 - $55 164 2,396,889
$56 - $160 165 2,276,573
$161 - $481 162 2,258,658
$482 - $11,252 163 2,254,924
TOTAL 35,427 321,423,251
AMCVA15 CHIRO AMB VISITS - VA/CHAMPVA AMT 15 4.0 NUM 3812 3815
0.00 35,416 321,331,258

$10 - $1,641 11 91,993
TOTAL 35,427 321,423,251
AMCTRI15 CHIRO AMB VISITS-TRICARE AMT 15 3.0 NUM 3816 3818
0.00 35,416 321,310,870

$5 - $726 11 112,381
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMCOFD15 CHIRO AMB VISITS - OTHER FEDERAL AMT 15 3.0 NUM 3819 3821
0.00 35,426 321,423,251

$1 - $102 1 0
TOTAL 35,427 321,423,251
AMCSTL15 CHIRO AMB VISITS - OTH ST/LOCAL AMT 15 3.0 NUM 3822 3824
0.00 35,425 321,404,603

$27 - $129 2 18,648
TOTAL 35,427 321,423,251
AMCWCP15 CHIRO AMB VISITS-WORKERS COMP AMT 15 4.0 NUM 3825 3828
0.00 35,412 321,295,460

$38 - $190 4 46,324
$191 - $977 4 25,480
$978 - $1,511 4 39,876
$1,512 - $3,968 3 16,109
TOTAL 35,427 321,423,251
AMCOPR15 CHIRO AMB VISITS - OTH PRIVATE AMT 15 4.0 NUM 3829 3832
0.00 35,388 320,872,704

$3 - $40 10 173,953
$41 - $86 10 135,304
$87 - $254 10 150,395
$255 - $3,375 9 90,895
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMCOPU15 CHIRO AMB VISITS - OTH PUBLIC AMT 15 3.0 NUM 3833 3835
0.00 35,423 321,385,924

$69 - $99 1 17,720
$100 - $137 1 6,124
$138 - $155 1 4,348
$156 - $164 1 9,135
TOTAL 35,427 321,423,251
AMCOSR15 CHIR AMB VSTS - OTH UNCLASS SRCE AMT 15 5.0 NUM 3836 3840
0.00 35,337 320,604,581

$7 - $222 24 308,795
$223 - $559 21 203,172
$560 - $1,810 23 156,255
$1,811 - $10,567 22 150,447
TOTAL 35,427 321,423,251
AMCPTR15 CHIRO AMB VISITS -PRV & TRI AMT 15 5.0 NUM 3841 3845
0.00 34,768 312,189,337

$1 - $55 165 2,409,247
$56 - $161 165 2,281,842
$162 - $480 165 2,261,101
$481 - $11,252 164 2,281,724
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMCOTH15 CHIRO AMB VISITS - OTH COMBINED AMT 15 5.0 NUM 3846 3850
0.00 35,295 320,048,089

$3 - $106 33 455,491
$107 - $299 33 397,726
$300 - $1,170 33 290,388
$1,171 - $10,567 33 231,557
TOTAL 35,427 321,423,251
AMNURS15 # AMB NURSE/PRCTITIONR VSTS(OB+OP) 15 3.0 NUM 3851 3853
0 31,476 275,671,236
1 - 317 3,951 45,752,015
TOTAL 35,427 321,423,251
AMNTCH15 NRS/PRAC AMBULATORY VISIT CHARGES 15 6.0 NUM 3854 3859
0.00 31,486 275,816,726

$6 - $125 993 11,662,671
$126 - $265 978 11,139,588
$266 - $654 985 11,431,222
$655 - $798,804 985 11,373,044
TOTAL 35,427 321,423,251
AMNEXP15 TOTL AMBULTRY (OB+OP) NURSE/PRAC EXP 15 5.0 NUM 3860 3864
0.00 31,697 278,236,023

$1 - $75 960 10,402,611
$76 - $149 916 10,864,972
$150 - $344 923 10,768,809
$345 - $85,911 931 11,150,835
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMNSLF15 NRS/PRAC AMB VSTS - SELF/FAMILY AMT 15 4.0 NUM 3865 3868
0.00 33,848 301,040,434

$1 - $20 458 5,934,446
$21 - $40 390 4,900,469
$41 - $90 353 4,559,006
$91 - $6,020 378 4,988,896
TOTAL 35,427 321,423,251
AMNMCR15 NRS/PRAC AMB VSTS - MEDICARE AMT 15 5.0 NUM 3869 3873
0.00 34,589 311,410,666

$2 - $71 210 2,538,325
$72 - $144 210 2,519,703
$145 - $336 209 2,511,811
$337 - $46,940 209 2,442,747
TOTAL 35,427 321,423,251
AMNMCD15 NRS/PRAC AMB VSTS - MEDICAID AMT 15 5.0 NUM 3874 3878
0.00 34,590 315,008,012

$1 - $53 212 1,480,173
$54 - $107 207 1,609,902
$108 - $286 210 1,614,584
$287 - $85,911 208 1,710,580
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMNPRV15 NRS/PRAC AMB VSTS - PRIV INS AMT 15 5.0 NUM 3879 3883
0.00 33,566 296,269,020

$1 - $54 469 6,096,486
$55 - $115 467 6,515,748
$116 - $273 460 6,391,682
$274 - $31,695 465 6,150,315
TOTAL 35,427 321,423,251
AMNVA15 NRS/PRAC AMB VSTS-VA/CHAMPVA AMT 15 4.0 NUM 3884 3887
0.00 35,331 320,393,861

$8 - $134 24 266,132
$135 - $317 24 265,681
$318 - $820 24 205,120
$821 - $7,899 24 292,456
TOTAL 35,427 321,423,251
AMNTRI15 NRS/PRAC AMB VSTS-TRICARE AMT 15 5.0 NUM 3888 3892
0.00 35,369 320,748,637

$10 - $24 15 185,673
$25 - $96 14 141,508
$97 - $304 15 183,807
$305 - $23,140 14 163,625
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMNOFD15 NRS/PRAC AMB VSTS-OTHER FEDERAL AMT 15 5.0 NUM 3893 3897
0.00 35,406 321,209,216

$2 - $55 6 30,794
$56 - $93 5 76,648
$94 - $124 5 62,156
$125 - $12,910 5 44,436
TOTAL 35,427 321,423,251
AMNSTL15 NRS/PRAC AMB VSTS-OTH ST/LOCAL AMT 15 5.0 NUM 3898 3902
0.00 35,399 321,207,552

$15 - $25 8 53,769
$26 - $73 6 53,812
$74 - $146 7 71,491
$147 - $21,600 7 36,627
TOTAL 35,427 321,423,251
AMNWCP15 NRS/PRAC AMB VSTS-WORKERS COMP AMT 15 4.0 NUM 3903 3906
0.00 35,403 321,068,213

$1 - $66 6 51,523
$67 - $177 6 96,953
$178 - $786 6 86,183
$787 - $1,898 6 120,378
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMNOPR15 NRS/PRAC AMB VSTS - OTH PRIVATE AMT 15 5.0 NUM 3907 3911
0.00 35,298 320,081,147

$3 - $25 36 360,306
$26 - $60 29 302,743
$61 - $182 32 395,694
$183 - $20,343 32 283,361
TOTAL 35,427 321,423,251
AMNOPU15 NRS/PRAC AMB VSTS - OTH PUBLIC AMT 15 4.0 NUM 3912 3915
0.00 35,403 321,252,584

$12 - $81 6 32,380
$82 - $153 6 52,811
$154 - $339 6 48,580
$340 - $4,437 6 36,896
TOTAL 35,427 321,423,251
AMNOSR15 NRS/PR AMB VSTS - OTH UNCLAS SRCE AMT 15 4.0 NUM 3916 3919
0.00 35,291 320,015,928

$1 - $30 38 478,710
$31 - $98 31 345,586
$99 - $204 34 325,455
$205 - $6,160 33 257,571
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMNPTR15 NRS/PRAC AMB VSTS - PRV & TRI AMT 15 5.0 NUM 3920 3924
0.00 33,522 295,739,128

$1 - $54 481 6,234,402
$55 - $114 473 6,601,165
$115 - $273 475 6,548,184
$274 - $31,695 476 6,300,372
TOTAL 35,427 321,423,251
AMNOTH15 NRS/PRAC AMB VSTS - OTH COMBINED AMT 15 5.0 NUM 3925 3929
0.00 35,103 318,174,410

$1 - $30 83 904,860
$31 - $86 80 816,015
$87 - $204 81 877,696
$205 - $21,771 80 650,270
TOTAL 35,427 321,423,251
AMOPTO15 # AMB OPTOMETRIST VSTS (OB+OP) 15 2.0 NUM 3930 3931
0 33,396 297,996,068
1 - 13 2,031 23,427,183
TOTAL 35,427 321,423,251
AMETCH15 OPTOMETRIST AMBULATORY VISIT CHARGES 15 5.0 NUM 3932 3936
0.00 33,401 298,065,974

$7 - $94 517 5,816,959
$95 - $150 521 5,817,458
$151 - $273 483 5,642,020
$274 - $10,506 505 6,080,839
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMEEXP15 TOTL AMBULTRY (OB+OP) OPTOMETRIST EXP 15 4.0 NUM 3937 3940
0.00 33,428 298,365,952

$5 - $75 507 5,504,580
$76 - $120 513 5,689,554
$121 - $214 492 5,833,475
$215 - $7,079 487 6,029,690
TOTAL 35,427 321,423,251
AMESLF15 OPTMTRIST AMB VSTS - SELF/FAMILY AMT 15 4.0 NUM 3941 3944
0.00 34,114 305,214,507

$2 - $1,595 1,313 16,208,744
TOTAL 35,427 321,423,251
AMEMCR15 OPTMTRIST AMB VSTS - MEDICARE AMT 15 3.0 NUM 3945 3947
0.00 35,277 319,654,542

$3 - $63 40 545,528
$64 - $95 35 419,644
$96 - $173 38 401,560
$174 - $835 37 401,977
TOTAL 35,427 321,423,251
AMEMCD15 OPTMTRIST AMB VSTS - MEDICAID AMT 15 4.0 NUM 3948 3951
0.00 35,106 318,954,941

$3 - $58 82 656,315
$59 - $90 79 625,120
$91 - $152 80 561,692
$153 - $1,072 80 625,183
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMEPRV15 OPTMTRIST AMB VSTS - PRIVATE INS AMT 15 4.0 NUM 3952 3955
0.00 34,464 309,102,840

$1 - $69 244 2,867,594
$70 - $110 242 3,181,229
$111 - $191 237 3,293,584
$192 - $6,837 240 2,978,004
TOTAL 35,427 321,423,251
AMEVA15 OPTMTRIST AMB VSTS-VA/CHAMPVA AMT 15 4.0 NUM 3956 3959
0.00 35,398 321,128,155

$10 - $83 8 90,944
$84 - $128 7 55,864
$129 - $260 7 75,511
$261 - $2,464 7 72,777
TOTAL 35,427 321,423,251
AMETRI15 OPTMTRIST AMB VSTS-TRICARE AMT 15 3.0 NUM 3960 3962
0.00 35,396 321,110,047

$20 - $521 31 313,203
TOTAL 35,427 321,423,251
AMEOFD15 OPTMTRIST AMB VSTS-OTHER FED AMT 15 3.0 NUM 3963 3965
0.00 35,418 321,323,090

$19 - $335 9 100,160
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMESTL15 OPTMTRIST AMB VSTS-OTH ST/LOCAL AMT 15 2.0 NUM 3966 3967
0.00 35,421 321,394,903

$31 - $90 6 28,348
TOTAL 35,427 321,423,251
AMEWCP15 OPTMTRIST AMB VSTS-WORKERS COMP AMT 15 1.0 NUM 3968 3968
0.00 35,427 321,423,251

TOTAL 35,427 321,423,251
AMEOPR15 OPTMTRIST AMB VSTS - OTH PRIVATE AMT 15 3.0 NUM 3969 3971
0.00 35,392 321,023,690

$8 - $75 10 91,927
$76 - $100 9 92,766
$101 - $215 8 88,845
$216 - $780 8 126,024
TOTAL 35,427 321,423,251
AMEOPU15 OPTMTRIST AMB VSTS - OTH PUBLIC AMT 15 3.0 NUM 3972 3974
0.00 35,423 321,409,533

$22 - $147 4 13,718
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMEOSR15 OPTOM AMB VSTS - OTH UNCLAS SRCE AMT 15 3.0 NUM 3975 3977
0.00 35,418 321,303,280

$17 - $971 9 119,971
TOTAL 35,427 321,423,251
AMEPTR15 OPTMTRIST AMB VSTS - PRV & TRI AMT 15 4.0 NUM 3978 3981
0.00 34,434 308,796,577

$1 - $69 252 2,970,134
$70 - $110 252 3,248,880
$111 - $189 243 3,345,599
$190 - $6,837 246 3,062,062
TOTAL 35,427 321,423,251
AMEOTH15 OPTMTRIST AMB VSTS - OTH COMBINED AMT 15 3.0 NUM 3982 3984
0.00 35,366 320,768,471

$11 - $69 16 149,567
$70 - $95 15 146,356
$96 - $160 15 163,065
$161 - $971 15 195,792
TOTAL 35,427 321,423,251
AMASST15 # PHYSICIAN ASS T VSTS (OFF+OUPAT), 2015 2.0 NUM 3985 3986
0 34,090 303,353,360
1 - 57 1,337 18,069,891
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMATCH15 PHYS ASS T AMBULATORY VISIT CHARGES 15 6.0 NUM 3987 3992
0.00 34,095 303,428,928

$3 - $151 333 4,392,278
$152 - $294 334 4,527,142
$295 - $653 332 4,539,577
$654 - $106,470 333 4,535,326
TOTAL 35,427 321,423,251
AMAEXP15 TOTL AMBULTRY (OB+OP) PHYS ASS T EXP 15 5.0 NUM 3993 3997
0.00 34,125 303,816,641

$2 - $91 331 4,429,073
$92 - $160 321 4,214,416
$161 - $348 325 4,350,086
$349 - $27,915 325 4,613,036
TOTAL 35,427 321,423,251
AMASLF15 PHYS ASS T AMB VSTS-SELF/FAMILY AMT 15 4.0 NUM 3998 4001
0.00 34,708 310,963,676

$1 - $20 180 2,302,751
$21 - $36 182 2,840,106
$37 - $83 179 2,596,077
$84 - $1,861 178 2,720,640
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMAMCR15 PHYS ASS T AMB VSTS-MEDICARE AMT 15 4.0 NUM 4002 4005
0.00 35,083 316,722,312

$5 - $63 87 1,238,701
$64 - $132 86 1,151,878
$133 - $292 85 1,201,572
$293 - $6,111 86 1,108,788
TOTAL 35,427 321,423,251
AMAMCD15 PHYS ASS T AMB VSTS-MEDICAID AMT 15 4.0 NUM 4006 4009
0.00 35,225 319,573,982

$2 - $50 51 416,605
$51 - $108 51 546,472
$109 - $262 50 468,646
$263 - $6,197 50 417,545
TOTAL 35,427 321,423,251
AMAPRV15 PHYS ASS T AMB VSTS-PRIVATE INS AMT 15 5.0 NUM 4010 4014
0.00 34,717 310,771,518

$1 - $59 180 2,720,808
$60 - $126 177 2,691,702
$127 - $256 176 2,475,576
$257 - $27,915 177 2,763,647
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMAVA15 PHYS ASS T AMB VSTS-VA/CHAMPVA AMT 15 4.0 NUM 4015 4018
0.00 35,395 321,015,478

$13 - $84 8 85,349
$85 - $183 8 88,846
$184 - $493 8 123,258
$494 - $4,635 8 110,319
TOTAL 35,427 321,423,251
AMATRI15 PHYS ASS T AMB VSTS-TRICARE AMT 15 4.0 NUM 4019 4022
0.00 35,384 320,808,223

$12 - $35 11 183,811
$36 - $79 11 150,734
$80 - $166 11 146,311
$167 - $1,148 10 134,172
TOTAL 35,427 321,423,251
AMAOFD15 PHYS ASS T AMB VSTS - OTHER FED AMT 15 3.0 NUM 4023 4025
0.00 35,416 321,276,947

$12 - $140 11 146,304
TOTAL 35,427 321,423,251
AMASTL15 PHYS ASS T AMB VSTS-OTH ST/LOCL AMT 15 3.0 NUM 4026 4028
0.00 35,421 321,373,223

$15 - $128 6 50,027
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMAWCP15 PHYS ASS T AMB VSTS-WRKERS COMP AMT 15 4.0 NUM 4029 4032
0.00 35,417 321,333,728

$23 - $1,036 10 89,523
TOTAL 35,427 321,423,251
AMAOPR15 PHYS ASS T AMB VSTS - OTH PRIVATE AMT 15 4.0 NUM 4033 4036
0.00 35,375 320,746,070

$1 - $24 13 177,927
$25 - $103 13 191,300
$104 - $199 13 132,664
$200 - $2,658 13 175,289
TOTAL 35,427 321,423,251
AMAOPU15 PHYS ASS T AMB VSTS - OTH PUBLIC AMT 15 3.0 NUM 4037 4039
0.00 35,420 321,368,069

$30 - $426 7 55,182
TOTAL 35,427 321,423,251
AMAOSR15 P A AMB VSTS - OTH UNCLASS SRCE AMT 15 3.0 NUM 4040 4042
0.00 35,397 321,029,370

$8 - $40 8 162,858
$41 - $86 7 67,982
$87 - $204 8 58,665
$205 - $976 7 104,376
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMAPTR15 PHYS ASS T AMB VSTS - PRV & TRI AMT 15 5.0 NUM 4043 4047
0.00 34,683 310,304,399

$1 - $59 188 2,821,946
$60 - $124 186 2,824,512
$125 - $254 184 2,592,462
$255 - $27,915 186 2,879,931
TOTAL 35,427 321,423,251
AMAOTH15 PHYS ASS T AMB VSTS-OTH COMBINED AMT 15 4.0 NUM 4048 4051
0.00 35,326 320,144,744

$1 - $33 26 402,344
$34 - $87 25 278,695
$88 - $185 25 262,766
$186 - $2,658 25 334,703
TOTAL 35,427 321,423,251
AMTHER15 # AMB PT/OT THRPY VISITS (OB+OP) 15 3.0 NUM 4052 4054
0 34,119 305,816,823
1 - 241 1,308 15,606,427
TOTAL 35,427 321,423,251
AMTTCH15 PT/OC AMBULATORY VISIT CHARGES 15 6.0 NUM 4055 4060
0.00 34,119 305,816,823

$25 - $601 328 3,668,466
$602 - $1,558 327 3,842,862
$1,559 - $3,435 326 3,989,421
$3,436 - $220,505 327 4,105,678
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMTEXP15 TOTL AMBULTRY (OB+OP) PT/OT EXP 15 5.0 NUM 4061 4065
0.00 34,135 305,958,098

$17 - $339 323 3,491,615
$340 - $803 323 3,845,912
$804 - $1,773 323 4,196,290
$1,774 - $61,368 323 3,931,337
TOTAL 35,427 321,423,251
AMTSLF15 PT/OT AMB VISITS-SELF/FAMILY AMT 15 4.0 NUM 4066 4069
0.00 34,872 313,774,064

$1 - $60 153 2,056,278
$61 - $146 125 1,563,549
$147 - $387 139 2,013,114
$388 - $4,820 138 2,016,247
TOTAL 35,427 321,423,251
AMTMCR15 PT/OT AMB VISITS-MEDICARE AMT 15 5.0 NUM 4070 4074
0.00 35,042 316,693,783

$8 - $252 97 1,177,092
$253 - $620 96 1,117,673
$621 - $1,394 96 1,229,236
$1,395 - $32,536 96 1,205,467
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMTMCD15 PT/OT AMB VISITS-MEDICAID AMT 15 5.0 NUM 4075 4079
0.00 35,185 319,495,223

$4 - $248 61 469,538
$249 - $578 60 399,341
$579 - $1,457 61 583,405
$1,458 - $12,511 60 475,744
TOTAL 35,427 321,423,251
AMTPRV15 PT/OT AMB VISITS-PRIVATE INS AMT 15 5.0 NUM 4080 4084
0.00 34,766 312,210,806

$1 - $200 169 2,253,376
$201 - $478 162 2,283,572
$479 - $1,124 165 2,244,034
$1,125 - $47,313 165 2,431,463
TOTAL 35,427 321,423,251
AMTVA15 PT/OT AMB VISITS-VA/CHAMPVA AMT 15 5.0 NUM 4085 4089
0.00 35,381 320,971,194

$8 - $387 12 102,466
$388 - $765 11 99,639
$766 - $1,270 12 103,794
$1,271 - $30,852 11 146,158
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMTTRI15 PT/OT AMB VISITS-TRICARE AMT 15 4.0 NUM 4090 4093
0.00 35,396 321,108,749

$11 - $215 8 70,202
$216 - $375 8 97,126
$376 - $1,019 8 61,052
$1,020 - $9,997 7 86,122
TOTAL 35,427 321,423,251
AMTOFD15 PT/OT AMB VISITS - OTHER FED AMT 15 5.0 NUM 4094 4098
0.00 35,421 321,338,555

$184 - $36,116 6 84,696
TOTAL 35,427 321,423,251
AMTSTL15 PT/OT AMB VISITS-OTH ST/LOCL AMT 15 3.0 NUM 4099 4101
0.00 35,424 321,394,424

$5 - $651 3 28,827
TOTAL 35,427 321,423,251
AMTWCP15 PT/OT AMB VISITS-WORKERS COMP AMT 15 5.0 NUM 4102 4106
0.00 35,358 320,611,166

$9 - $448 18 178,418
$449 - $1,098 17 189,141
$1,099 - $2,767 17 191,593
$2,768 - $17,579 17 252,933
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMTOPR15 PT/OT AMB VISITS - OTH PRIVATE AMT 15 5.0 NUM 4107 4111
0.00 35,370 320,723,789

$12 - $96 15 157,127
$97 - $281 14 200,266
$282 - $475 14 210,995
$476 - $17,358 14 131,074
TOTAL 35,427 321,423,251
AMTOPU15 PT/OT AMB VISITS-OTH PUBLIC AMT 15 3.0 NUM 4112 4114
0.00 35,418 321,351,893

$3 - $716 9 71,358
TOTAL 35,427 321,423,251
AMTOSR15 PT/OT AMB VSTS-OTH UNCLAS SRCE AMT 15 5.0 NUM 4115 4119
0.00 35,386 321,052,210

$2 - $58 11 96,911
$59 - $320 10 93,196
$321 - $1,000 10 104,786
$1,001 - $14,055 10 76,147
TOTAL 35,427 321,423,251
AMTPTR15 PT/OT AMB VISITS -PRV & TRI AMT 15 5.0 NUM 4120 4124
0.00 34,741 311,953,315

$1 - $200 174 2,286,807
$201 - $480 172 2,462,291
$481 - $1,175 169 2,228,799
$1,176 - $47,313 171 2,492,039
TOTAL 35,427 321,423,251
DATE: July 24, 2017
AMTOTH15 PT/OT AMB VISITS - OTH COMBINED AMT 15 5.0 NUM 4125 4129
0.00 35,319 320,257,860

$2 - $111 27 277,917
$112 - $318 27 308,603
$319 - $609 27 311,426
$610 - $36,546 27 267,445
TOTAL 35,427 321,423,251
AMTOTC15 # CALLS W/OFFICE & OUPAT DEPTS, 2015 3.0 NUM 4130 4132
0 34,602 311,585,354
1 - 101 825 9,837,897
TOTAL 35,427 321,423,251
AMDRC15 # CALLS W/OFF & OUTPAT PHYSICIANS, 2015 1.0 NUM 4133 4133
0 35,079 317,340,283
1 - 7 348 4,082,968
TOTAL 35,427 321,423,251
ERTOT15 # EMERGENCY ROOM VISITS 15 2.0 NUM 4134 4135
0 30,392 275,690,311
1 - 17 5,035 45,732,940
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ERTTCH15 ER FACILITY + DR VISIT CHARGES 15 6.0 NUM 4136 4141
0.00 30,455 276,264,635

$9 - $1,200 1,244 10,895,442
$1,201 - $2,637 1,244 11,102,818
$2,638 - $5,699 1,241 11,692,720
$5,700 - $256,024 1,243 11,467,635
TOTAL 35,427 321,423,251
ERTEXP15 TOTAL ER FACILITY + DR EXP 15 6.0 NUM 4142 4147
0.00 30,618 277,561,636

$2 - $256 1,209 9,245,351
$257 - $594 1,197 10,145,683
$595 - $1,408 1,201 12,342,475
$1,409 - $104,277 1,202 12,128,105
TOTAL 35,427 321,423,251
ERTSLF15 ER-SELF/FAMILY AMT-(FAC+DR) 15 5.0 NUM 4148 4152
0.00 33,812 303,589,906

$1 - $50 425 4,260,994
$51 - $113 383 4,271,545
$114 - $314 407 4,909,653
$315 - $15,000 400 4,391,154
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ERTMCR15 ER-MEDICARE AMT-(FAC+DR) 15 5.0 NUM 4153 4157
0.00 34,247 309,124,522

$5 - $205 296 2,786,499
$206 - $451 294 2,965,273
$452 - $884 296 3,363,594
$885 - $22,530 294 3,183,362
TOTAL 35,427 321,423,251
ERTMCD15 ER-MEDICAID AMT-(FAC+DR) 15 5.0 NUM 4158 4162
0.00 33,464 308,346,951

$1 - $123 491 3,109,460
$124 - $276 491 3,159,112
$277 - $555 491 3,083,934
$556 - $13,031 490 3,723,794
TOTAL 35,427 321,423,251
ERTPRV15 ER-PRIV INS AMT-(FAC+DR) 15 6.0 NUM 4163 4168
0.00 33,695 301,261,293

$2 - $228 437 5,390,163
$229 - $703 430 4,922,082
$704 - $1,751 432 5,085,403
$1,752 - $102,267 433 4,764,310
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ERTVA15 ER-VA/CHAMPVA AMT-(FAC+DR) 15 5.0 NUM 4169 4173
0.00 35,310 320,199,502

$5 - $193 30 270,318
$194 - $364 29 326,226
$365 - $1,208 30 331,655
$1,209 - $13,344 28 295,550
TOTAL 35,427 321,423,251
ERTTRI15 ER-TRICARE AMT-(FAC+DR) 15 4.0 NUM 4174 4177
0.00 35,340 320,371,401

$2 - $85 24 276,547
$86 - $180 20 278,364
$181 - $622 22 328,530
$623 - $6,362 21 168,409
TOTAL 35,427 321,423,251
ERTOFD15 ER-OTHER FED AMT-(FAC+DR) 15 4.0 NUM 4178 4181
0.00 35,410 321,166,232

$18 - $3,247 17 257,018
TOTAL 35,427 321,423,251
ERTSTL15 ER-OTH ST/LOCAL AMT-(FAC+DR) 15 4.0 NUM 4182 4185
0.00 35,382 321,208,391

$17 - $55 12 60,381
$56 - $172 11 63,576
$173 - $319 11 55,925
$320 - $3,515 11 34,977
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ERTWCP15 ER-WORKERS COMP AMT-(FAC+DR) 15 4.0 NUM 4186 4189
0.00 35,354 320,645,704

$23 - $499 19 177,432
$500 - $814 18 238,472
$815 - $1,607 18 166,508
$1,608 - $7,855 18 195,136
TOTAL 35,427 321,423,251
ERTOPR15 ER-OTH PRIVATE AMT-(FAC+DR) 15 5.0 NUM 4190 4194
0.00 35,117 318,788,923

$2 - $63 78 586,820
$64 - $195 77 632,969
$196 - $558 78 756,915
$559 - $22,597 77 657,624
TOTAL 35,427 321,423,251
ERTOPU15 ER-OTH PUBLIC AMT-(FAC+DR) 15 5.0 NUM 4195 4199
0.00 35,344 320,826,529

$2 - $67 21 234,595
$68 - $208 21 116,710
$209 - $582 21 147,363
$583 - $16,088 20 98,054
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ERTOSR15 ER-OTH UNCLASS SRCE AMT-(FAC+DR) 15 5.0 NUM 4200 4204
0.00 35,087 318,299,154

$3 - $85 88 782,862
$86 - $265 83 843,779
$266 - $897 84 780,908
$898 - $21,538 85 716,547
TOTAL 35,427 321,423,251
ERTPTR15 ER-PRV & TRI AMT (FAC+DR) 15 6.0 NUM 4205 4210
0.00 33,631 300,545,066

$2 - $215 450 5,529,853
$216 - $680 450 5,221,565
$681 - $1,685 447 5,163,480
$1,686 - $102,267 449 4,963,286
TOTAL 35,427 321,423,251
ERTOTH15 ER -OTH COMBINED AMT (FAC+DR) 15 5.0 NUM 4211 4215
0.00 34,691 315,092,828

$2 - $82 186 1,490,389
$83 - $233 185 1,746,996
$234 - $704 181 1,587,941
$705 - $22,597 184 1,505,097
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ERFTCH15 ER FACILITY VISIT CHARGES 15 6.0 NUM 4216 4221
0.00 30,603 277,741,848

$9 - $974 1,207 10,322,222
$975 - $2,137 1,207 11,052,215
$2,138 - $4,822 1,204 11,144,837
$4,823 - $251,732 1,206 11,162,128
TOTAL 35,427 321,423,251
ERFEXP15 TOTAL ER FACILITY EXP 15 6.0 NUM 4222 4227
0.00 30,909 280,238,529

$2 - $214 1,132 8,276,337
$215 - $513 1,127 9,711,341
$514 - $1,219 1,130 11,811,663
$1,220 - $102,011 1,129 11,385,381
TOTAL 35,427 321,423,251
ERFSLF15 ER-SELF/FAMILY AMT - FAC 15 5.0 NUM 4228 4232
0.00 34,113 306,498,703

$1 - $50 336 3,414,887
$51 - $110 322 3,690,015
$111 - $300 328 4,177,557
$301 - $15,000 328 3,642,089
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ERFMCR15 ER-MEDICARE AMT - FAC 15 5.0 NUM 4233 4237
0.00 34,437 311,090,849

$3 - $229 251 2,237,556
$230 - $441 247 2,593,494
$442 - $829 245 2,829,766
$830 - $21,895 247 2,671,585
TOTAL 35,427 321,423,251
ERFMCD15 ER-MEDICAID AMT - FAC 15 5.0 NUM 4238 4242
0.00 33,646 309,703,761

$1 - $106 447 2,640,987
$107 - $245 446 2,842,508
$246 - $496 443 2,771,699
$497 - $13,031 445 3,464,295
TOTAL 35,427 321,423,251
ERFPRV15 ER-PRIVATE INS AMT - FAC 15 6.0 NUM 4243 4248
0.00 33,964 304,488,605

$1 - $240 366 4,368,334
$241 - $728 367 4,383,200
$729 - $1,832 367 4,412,385
$1,833 - $100,661 363 3,770,727
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ERFVA15 ER-VA/CHAMPVA AMT - FAC 15 5.0 NUM 4249 4253
0.00 35,337 320,466,130

$21 - $227 23 228,141
$228 - $518 22 264,338
$519 - $1,379 23 243,043
$1,380 - $13,344 22 221,598
TOTAL 35,427 321,423,251
ERFTRI15 ER-TRICARE AMT - FAC 15 4.0 NUM 4254 4257
0.00 35,354 320,597,303

$2 - $100 19 188,198
$101 - $203 18 259,737
$204 - $646 19 226,234
$647 - $6,246 17 151,779
TOTAL 35,427 321,423,251
ERFOFD15 ER-OTHER FEDERAL AMT - FAC 15 4.0 NUM 4258 4261
0.00 35,410 321,166,232

$18 - $3,247 17 257,018
TOTAL 35,427 321,423,251
ERFSTL15 ER-OTH ST/LOCAL AMT - FAC 15 4.0 NUM 4262 4265
0.00 35,396 321,294,133

$26 - $134 8 32,995
$135 - $273 8 50,389
$274 - $637 8 20,488
$638 - $3,515 7 25,247
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ERFWCP15 ER-WORKERS COMP AMT - FAC 15 4.0 NUM 4266 4269
0.00 35,356 320,671,225

$54 - $419 18 152,465
$420 - $602 18 264,547
$603 - $1,168 18 146,772
$1,169 - $7,203 17 188,241
TOTAL 35,427 321,423,251
ERFOPR15 ER-OTHER PRIVATE AMT - FAC 15 5.0 NUM 4270 4274
0.00 35,247 319,781,402

$12 - $136 45 397,040
$137 - $279 45 497,039
$280 - $858 45 363,258
$859 - $22,597 45 384,512
TOTAL 35,427 321,423,251
ERFOPU15 ER-OTHER PUBLIC AMT - FAC 15 5.0 NUM 4275 4279
0.00 35,378 321,112,721

$14 - $200 13 87,026
$201 - $424 12 109,676
$425 - $662 12 59,187
$663 - $15,996 12 54,642
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ERFOSR15 ER-OTH UNCLASS SRCE AMT - FAC 15 5.0 NUM 4280 4284
0.00 35,196 319,353,168

$16 - $217 58 534,857
$218 - $499 58 602,024
$500 - $1,842 60 477,765
$1,843 - $19,351 55 455,437
TOTAL 35,427 321,423,251
ERFPTR15 ER-PRV & TRI AMT - FAC 15 6.0 NUM 4285 4290
0.00 33,896 303,742,077

$1 - $228 385 4,599,862
$229 - $691 381 4,541,380
$692 - $1,703 383 4,551,701
$1,704 - $100,661 382 3,988,231
TOTAL 35,427 321,423,251
ERFOTH15 ER-OTH COMBINED AMT - FAC 15 5.0 NUM 4291 4295
0.00 34,931 317,098,898

$12 - $154 125 1,140,931
$155 - $419 124 1,196,091
$420 - $1,112 123 1,075,301
$1,113 - $22,597 124 912,029
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ERDEXP15 TOTAL EMERGENCY ROOM DR EXP 15 4.0 NUM 4296 4299
0.00 32,035 290,031,412

$2 - $65 856 7,465,486
$66 - $149 844 6,960,392
$150 - $334 848 8,294,106
$335 - $5,472 844 8,671,854
TOTAL 35,427 321,423,251
ERDTCH15 ER DOCTOR VISIT CHARGES 15 5.0 NUM 4300 4304
0.00 31,790 288,009,905

$6 - $260 911 8,240,239
$261 - $608 908 8,515,681
$609 - $1,244 909 8,012,124
$1,245 - $24,810 909 8,645,302
TOTAL 35,427 321,423,251
ERDSLF15 ER-SELF/FAMILY AMT - DR 15 4.0 NUM 4305 4308
0.00 34,850 315,293,681

$2 - $24 145 1,635,954
$25 - $70 145 1,373,031
$71 - $180 143 1,564,627
$181 - $2,583 144 1,555,957
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ERDMCR15 ER-MEDICARE AMT - DR 15 4.0 NUM 4309 4312
0.00 34,547 312,077,280

$3 - $60 226 2,408,865
$61 - $148 217 2,214,229
$149 - $272 218 2,480,251
$273 - $2,560 219 2,242,627
TOTAL 35,427 321,423,251
ERDMCD15 ER-MEDICAID AMT - DR 15 4.0 NUM 4313 4316
0.00 34,150 312,963,124

$1 - $42 333 2,401,180
$43 - $84 321 2,048,938
$85 - $157 305 1,894,505
$158 - $3,221 318 2,115,504
TOTAL 35,427 321,423,251
ERDPRV15 ER-PRIVATE INS AMT - DR 15 4.0 NUM 4317 4320
0.00 34,267 307,556,017

$2 - $58 291 3,795,050
$59 - $183 291 3,571,760
$184 - $403 289 3,115,216
$404 - $4,934 289 3,385,208
TOTAL 35,427 321,423,251
ERDVA15 ER-VA/CHAMPVA AMT - DR 15 4.0 NUM 4321 4324
0.00 35,376 320,920,235

$5 - $1,388 51 503,016
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ERDTRI15 ER-TRICARE AMT - DR 15 3.0 NUM 4325 4327
0.00 35,385 320,833,151

$2 - $11 12 201,678
$12 - $37 11 116,035
$38 - $94 9 82,409
$95 - $312 10 189,977
TOTAL 35,427 321,423,251
ERDOFD15 ER-OTHER FED AMT - DR 15 1.0 NUM 4328 4328
0.00 35,427 321,423,251

TOTAL 35,427 321,423,251
ERDSTL15 ER-OTH ST/LOCAL AMT - DR 15 2.0 NUM 4329 4330
0.00 35,413 321,337,509

$17 - $27 4 13,590
$28 - $51 3 30,069
$52 - $88 4 17,343
$89 - $93 3 24,739
TOTAL 35,427 321,423,251
ERDWCP15 ER-WORKERS COMP AMT - DR 15 4.0 NUM 4331 4334
0.00 35,381 320,935,835

$8 - $65 12 134,150
$66 - $162 11 92,242
$163 - $309 12 128,791
$310 - $1,358 11 132,233
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ERDOPR15 ER - OTHER PRIVATE AMT - DR 15 4.0 NUM 4335 4338
0.00 35,232 319,795,167

$2 - $24 53 482,557
$25 - $81 45 363,107
$82 - $227 49 371,172
$228 - $1,567 48 411,248
TOTAL 35,427 321,423,251
ERDOPU15 ER - OTHER PUBLIC AMT - DR 15 4.0 NUM 4339 4342
0.00 35,369 320,973,545

$2 - $24 15 165,592
$25 - $62 14 119,287
$63 - $115 16 114,045
$116 - $1,743 13 50,781
TOTAL 35,427 321,423,251
ERDOSR15 ER-OTH UNCLASS SRCE AMT - DR 15 4.0 NUM 4343 4346
0.00 35,295 320,096,501

$3 - $19 34 304,137
$20 - $64 33 325,341
$65 - $130 33 317,068
$131 - $3,749 32 380,204
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ERDPTR15 ER-PRV & TRI AMT - DR 15 4.0 NUM 4347 4350
0.00 34,233 307,095,078

$2 - $54 303 3,944,908
$55 - $171 294 3,684,562
$172 - $390 299 3,244,530
$391 - $4,934 298 3,454,172
TOTAL 35,427 321,423,251
ERDOTH15 ER-OTH COMBINED AMT - DR 15 4.0 NUM 4351 4354
0.00 35,045 318,056,568

$2 - $24 100 970,295
$25 - $68 93 759,046
$69 - $159 94 770,714
$160 - $3,749 95 866,628
TOTAL 35,427 321,423,251
IPZERO15 # ZERO-NIGHT HOSPITAL STAYS 15 1.0 NUM 4355 4355
0 35,373 320,994,571
1 - 7 54 428,679
TOTAL 35,427 321,423,251
ZIFTCH15 ZERO-NITE IP STAY CHARGES - FAC 15 5.0 NUM 4356 4360
0.00 35,373 320,994,571

$105 - $2,690 14 103,010
$2,691 - $10,663 13 126,013
$10,664 - $21,127 14 101,976
$21,128 - $79,405 13 97,681
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ZIFEXP15 TOTAL ZERO-NITE STAYS FAC EXP 15 5.0 NUM 4361 4365
0.00 35,374 321,005,177

$26 - $515 14 109,297
$516 - $2,900 13 92,053
$2,901 - $6,119 13 83,263
$6,120 - $54,760 13 133,460
TOTAL 35,427 321,423,251
ZIFSLF15 ZERO-NITE IP STAZ-SELF/FAM AMT-FAC 15 4.0 NUM 4366 4369
0.00 35,414 321,318,434

$20 - $2,900 13 104,817
TOTAL 35,427 321,423,251
ZIFMCR15 ZERO-NITE IP STAZ-MEDICARE AMT-FAC 15 5.0 NUM 4370 4374
0.00 35,412 321,285,725

$4 - $276 4 50,594
$277 - $1,549 4 33,823
$1,550 - $5,868 4 33,804
$5,869 - $15,966 3 19,306
TOTAL 35,427 321,423,251
ZIFMCD15 ZERO-NITE IP STAZ-MEDICAID AMT-FAC 15 5.0 NUM 4375 4379
0.00 35,410 321,308,313

$31 - $326 5 40,455
$327 - $893 4 13,114
$894 - $3,842 4 31,081
$3,843 - $10,912 4 30,288
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ZIFPRV15 ZERO-NITE IP STAZ-PRIV INS AMT-FAC 15 5.0 NUM 4380 4384
0.00 35,408 321,232,558

$2 - $260 5 53,946
$261 - $4,510 5 47,642
$4,511 - $9,221 5 46,918
$9,222 - $52,145 4 42,186
TOTAL 35,427 321,423,251
ZIFVA15 ZERO-NITE IP STAZ-VA/CHAMPVA AMT-FAC 15 5.0 NUM 4385 4389
0.00 35,425 321,402,028

$1,078 - $14,152 2 21,222
TOTAL 35,427 321,423,251
ZIFTRI15 ZERO-NITE IP STAZ-TRICARE AMT-FAC 15 4.0 NUM 4390 4393
0.00 35,425 321,416,038

$251 - $6,112 2 7,213
TOTAL 35,427 321,423,251
ZIFOFD15 ZERO-NITE IP STAZ-OTHER FED AMT-FAC 15 4.0 NUM 4394 4397
0.00 35,426 321,415,122

$1 - $1,625 1 8,129
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ZIFSTL15 ZERO-NITE IP STAZ-OTH ST/LOC AMT-FAC 15 1.0 NUM 4398 4398
0.00 35,427 321,423,251

TOTAL 35,427 321,423,251
ZIFWCP15 ZERO-NITE IP STAZ-WRKERS COMP AMT-FAC 15 1.0 NUM 4399 4399
0.00 35,427 321,423,251

TOTAL 35,427 321,423,251
ZIFOPR15 ZERO-NITE IP STAZ-OTH PRIVATE AMT-FAC 15 4.0 NUM 4400 4403
0.00 35,424 321,406,106

$38 - $1,056 3 17,145
TOTAL 35,427 321,423,251
ZIFOPU15 ZERO-NITE IP STAZ-OTH PUBLIC AMT-FAC 15 1.0 NUM 4404 4404
0.00 35,427 321,423,251

TOTAL 35,427 321,423,251
ZIFOSR15 ZERO-NITE IP STAZ-UNCLAS SRCE AMT-FAC 15 4.0 NUM 4405 4408
0.00 35,425 321,411,502

$31 - $1,833 2 11,749
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ZIFPTR15 ZERO-NITE IP STAZ-PRV & TRI AMT-FAC 15 5.0 NUM 4409 4413
0.00 35,406 321,225,344

$2 - $260 6 53,946
$261 - $4,510 5 47,642
$4,511 - $8,495 5 43,924
$8,496 - $52,145 5 52,394
TOTAL 35,427 321,423,251
ZIFOTH15 ZERO-NITE IP STAZ-OTH COMBINE AMT-FAC 15 4.0 NUM 4414 4417
0.00 35,421 321,386,227

$31 - $1,833 6 37,024
TOTAL 35,427 321,423,251
ZIDEXP15 TOTAL ZERO-NITE STAZ DR 15 4.0 NUM 4418 4421
0.00 35,386 321,092,828

$9 - $141 11 86,536
$142 - $459 10 66,445
$460 - $1,538 10 72,082
$1,539 - $3,384 10 105,359
TOTAL 35,427 321,423,251
ZIDTCH15 ZERO-NITE IP STAY CHARGES - DR 15 5.0 NUM 4422 4426
0.00 35,385 321,087,647

$35 - $418 11 97,718
$419 - $1,271 10 55,682
$1,272 - $3,680 11 104,081
$3,681 - $12,083 10 78,123
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ZIDSLF15 ZERO-NITE IP STAZ-SELF/FAM AMT-DR 15 3.0 NUM 4427 4429
0.00 35,421 321,395,157

$30 - $575 6 28,094
TOTAL 35,427 321,423,251
ZIDMCR15 ZERO-NITE IP STAZ-MEDICARE AMT-DR 15 4.0 NUM 4430 4433
0.00 35,415 321,311,923

$9 - $81 3 41,400
$82 - $296 3 19,540
$297 - $949 3 19,550
$950 - $1,303 3 30,837
TOTAL 35,427 321,423,251
ZIDMCD15 ZERO-NITE IP STAZ-MEDICAID AMT-DR 15 4.0 NUM 4434 4437
0.00 35,415 321,348,726

$24 - $81 3 6,498
$82 - $145 3 19,791
$146 - $798 3 30,828
$799 - $2,084 3 17,408
TOTAL 35,427 321,423,251
ZIDPRV15 ZERO-NITE IP STAZ-PRIV INS AMT-DR 15 4.0 NUM 4438 4441
0.00 35,406 321,216,018

$17 - $3,384 21 207,233
TOTAL 35,427 321,423,251
DATE: July 24, 2017
ZIDVA15 ZERO-NITE IP STAZ-VA/CHAMPVA AMT-DR 15 2.0 NUM 4442 4443
0.00 35,426 321,411,406

$1 - $12 1 11,845
TOTAL 35,427 321,423,251
ZIDTRI15 ZERO-NITE IP STAZ-TRICARE AMT-DR 15 1.0 NUM 4444 4444
0.00 35,427 321,423,251

TOTAL 35,427 321,423,251
ZIDOFD15 ZERO-NITE IP STAZ-OTHER FED AMT-DR 15 1.0 NUM 4445 4445
0.00 35,427 321,423,251

TOTAL 35,427 321,423,251
ZIDSTL15 ZERO-NITE IP STAZ-OTH ST/LOC AMT-DR 15 1.0 NUM 4446 4446
0.00 35,427 321,423,251

TOTAL 35,427 321,423,251
ZIDWCP15 ZERO-NITE IP STAZ-WRKERS COMP AMT-DR 15 1.0 NUM 4447 4447
0.00 35,427 321,423,251

TOTAL 35,427 321,423,251
DATE: July 24, 2017
ZIDOPR15 ZERO-NITE IP STAZ-OTH PRIVATE AMT-DR 15 3.0 NUM 4448 4450
0.00 35,424 321,408,777

$59 - $330 3 14,474
TOTAL 35,427 321,423,251
ZIDOPU15 ZERO-NITE IP STAZ-OTH PUBLIC AMT-DR 15 1.0 NUM 4451 4451
0.00 35,427 321,423,251

TOTAL 35,427 321,423,251
ZIDOSR15 ZERO-NITE IP STAZ-UNCLAS SRCE AMT-DR 15 1.0 NUM 4452 4452
0.00 35,427 321,423,251

TOTAL 35,427 321,423,251
ZIDPTR15 ZERO-NITE IP STAZ-PRV & TRI AMT-DR 15 4.0 NUM 4453 4456
0.00 35,406 321,216,018

$17 - $3,384 21 207,233
TOTAL 35,427 321,423,251
ZIDOTH15 ZERO-NITE IP STAZ-OTH COMBINED AMT-DR 15 3.0 NUM 4457 4459
0.00 35,424 321,408,777

$59 - $330 3 14,474
TOTAL 35,427 321,423,251
DATE: July 24, 2017
IPDIS15 # HOSPITAL DISCHARGES, 2015 2.0 NUM 4460 4461
0 33,279 300,796,806
1 - 11 2,148 20,626,444
TOTAL 35,427 321,423,251
IPTEXP15 TOT HOSP IP FACILITY + DR EXP 15 6.0 NUM 4462 4467
0.00 33,298 300,943,887

$18 - $5,007 533 4,493,106
$5,008 - $10,301 532 5,017,442
$10,302 - $20,969 532 5,364,424
$20,970 - $663,917 532 5,604,392
TOTAL 35,427 321,423,251
IPTTCH15 IP HOSP STAY CHARGES (FAC+DR) 15 7.0 NUM 4468 4474
0.00 33,279 300,796,806

$72 - $16,935 537 5,142,280
$16,936 - $34,552 537 4,847,026
$34,553 - $72,711 537 5,230,155
$72,712 - $1,886,742 537 5,406,984
TOTAL 35,427 321,423,251
IPTSLF15 IP HOSP STAZ-SELF/FAMILY AMT-(FAC+DR) 15 5.0 NUM 4475 4479
0.00 34,599 312,227,195

$1 - $101 209 2,153,330
$102 - $385 205 2,152,756
$386 - $1,123 207 2,532,310
$1,124 - $68,366 207 2,357,659
TOTAL 35,427 321,423,251
DATE: July 24, 2017
IPTMCR15 IP HOSP STAZ-MEDICARE AMT-(FAC+DR) 15 6.0 NUM 4480 4485
0.00 34,557 312,054,136

$7 - $3,988 218 2,278,790
$3,989 - $9,564 217 2,300,554
$9,565 - $19,244 218 2,479,241
$19,245 - $195,918 217 2,310,530
TOTAL 35,427 321,423,251
IPTMCD15 IP HOSP STAZ-MEDICAID AMT-(FAC+DR) 15 6.0 NUM 4486 4491
0.00 34,633 316,019,214

$2 - $1,245 199 1,587,039
$1,246 - $3,530 198 1,258,201
$3,531 - $8,025 199 1,185,373
$8,026 - $513,607 198 1,373,423
TOTAL 35,427 321,423,251
IPTPRV15 IP HOSP STAZ-PRIV INS AMT-(FAC+DR) 15 6.0 NUM 4492 4497
0.00 34,543 310,950,193

$2 - $1,624 221 2,822,328
$1,625 - $7,318 221 2,599,697
$7,319 - $17,863 221 2,454,287
$17,864 - $642,622 221 2,596,746
TOTAL 35,427 321,423,251
DATE: July 24, 2017
IPTVA15 IP HOSP STAZ-VA/CHAMPVA AMT-(FAC+DR) 15 6.0 NUM 4498 4503
0.00 35,354 320,672,189

$12 - $322 19 266,757
$323 - $2,410 18 155,562
$2,411 - $13,534 18 143,548
$13,535 - $153,550 18 185,196
TOTAL 35,427 321,423,251
IPTTRI15 IP HOSP STAZ-TRICARE AMT-(FAC+DR) 15 5.0 NUM 4504 4508
0.00 35,369 320,699,029

$21 - $728 15 208,379
$729 - $1,661 14 118,682
$1,662 - $6,112 15 239,264
$6,113 - $48,587 14 157,897
TOTAL 35,427 321,423,251
IPTOFD15 IP HOSP STAZ-OTHER FED AMT-(FAC+DR) 15 5.0 NUM 4509 4513
0.00 35,414 321,315,334

$9 - $42,391 13 107,917
TOTAL 35,427 321,423,251
IPTSTL15 IP HSP STAZ-OTH ST/LOCAL AMT-(FAC+DR) 15 5.0 NUM 4514 4518
0.00 35,392 321,119,534

$22 - $69,063 35 303,717
TOTAL 35,427 321,423,251
DATE: July 24, 2017
IPTWCP15 IP HOSP STAZ-WRKRS COMP AMT-(FAC+DR) 15 5.0 NUM 4519 4523
0.00 35,410 321,219,511

$233 - $9,267 5 53,493
$9,268 - $23,925 4 55,556
$23,926 - $50,674 4 64,841
$50,675 - $92,145 4 29,850
TOTAL 35,427 321,423,251
IPTOPR15 IP HOSP STAZ-OTH PRIVATE AMT-(FAC+DR) 15 6.0 NUM 4524 4529
0.00 35,213 319,356,473

$3 - $213 54 535,637
$214 - $1,285 53 477,719
$1,286 - $3,552 54 565,394
$3,553 - $150,216 53 488,027
TOTAL 35,427 321,423,251
IPTOPU15 IP HOSP STAZ-OTH PUBLIC AMT-(FAC+DR) 15 5.0 NUM 4530 4534
0.00 35,372 321,083,575

$15 - $182 14 98,669
$183 - $1,264 14 105,743
$1,265 - $5,122 14 73,169
$5,123 - $30,469 13 62,095
TOTAL 35,427 321,423,251
DATE: July 24, 2017
IPTOSR15 IP HSP STAZ-OTH UNCLS SRC AMT(FAC+DR) 15 6.0 NUM 4535 4540
0.00 35,221 319,316,667

$1 - $67 52 544,450
$68 - $428 52 526,701
$429 - $2,574 51 487,542
$2,575 - $134,360 51 547,891
TOTAL 35,427 321,423,251
IPTPTR15 IP HOSP STAZ-PRV & TRI AMT-(FAC+DR) 15 6.0 NUM 4541 4546
0.00 34,513 310,617,746

$2 - $1,674 229 2,852,153
$1,675 - $7,277 228 2,739,439
$7,278 - $17,876 229 2,541,541
$17,877 - $642,622 228 2,672,372
TOTAL 35,427 321,423,251
IPTOTH15 IP HOSP STAZ-OTH COMBINED AMT(FAC+DR) 15 6.0 NUM 4547 4552
0.00 34,961 316,989,316

$1 - $179 117 1,121,562
$180 - $1,211 116 1,181,589
$1,212 - $3,614 117 1,095,694
$3,615 - $150,216 116 1,035,090
TOTAL 35,427 321,423,251
DATE: July 24, 2017
IPFEXP15 TOT HOSP IP FACILITY EXP-INC 0 NITES 15 6.0 NUM 4553 4558
0.00 33,333 301,255,779

$8 - $4,470 524 4,429,538
$4,471 - $8,853 524 4,981,398
$8,854 - $19,084 523 5,268,484
$19,085 - $656,333 523 5,488,051
TOTAL 35,427 321,423,251
IPFTCH15 IP HOSP STAY CHARGES - FAC 15 7.0 NUM 4559 4565
0.00 33,281 300,825,103

$32 - $14,135 537 5,247,058
$14,136 - $30,636 536 4,780,735
$30,637 - $63,125 537 5,202,100
$63,126 - $1,841,376 536 5,368,255
TOTAL 35,427 321,423,251
IPFSLF15 IP HOSP STAZ-SELF/FAMILY AMT-FAC 15 5.0 NUM 4566 4570
0.00 34,799 314,258,191

$1 - $110 157 1,613,484
$111 - $434 157 1,794,896
$435 - $1,228 157 1,943,279
$1,229 - $68,366 157 1,813,401
TOTAL 35,427 321,423,251
DATE: July 24, 2017
IPFMCR15 IP HOSP STAZ-MEDICARE AMT-FAC 15 6.0 NUM 4571 4576
0.00 34,648 312,944,342

$4 - $4,690 195 2,147,603
$4,691 - $9,867 195 2,116,269
$9,868 - $19,176 195 2,170,230
$19,177 - $190,748 194 2,044,806
TOTAL 35,427 321,423,251
IPFMCD15 IP HOSP STAZ-MEDICAID AMT-FAC 15 6.0 NUM 4577 4582
0.00 34,765 317,202,609

$1 - $1,654 166 1,104,531
$1,655 - $4,214 165 908,941
$4,215 - $8,321 166 1,044,026
$8,322 - $506,117 165 1,163,144
TOTAL 35,427 321,423,251
IPFPRV15 IP HOSP STAZ-PRIV INS AMT-FAC 15 6.0 NUM 4583 4588
0.00 34,657 312,250,621

$2 - $2,520 196 2,582,540
$2,521 - $7,039 189 2,311,751
$7,040 - $18,262 193 2,014,795
$18,263 - $637,144 192 2,263,545
TOTAL 35,427 321,423,251
DATE: July 24, 2017
IPFVA15 IP HOSP STAZ-VA/CHAMPVA AMT-FAC 15 6.0 NUM 4589 4594
0.00 35,381 320,961,888

$38 - $4,766 12 141,148
$4,767 - $8,862 11 93,627
$8,863 - $18,646 12 97,249
$18,647 - $153,550 11 129,339
TOTAL 35,427 321,423,251
IPFTRI15 IP HOSP STAZ-TRICARE AMT-FAC 15 5.0 NUM 4595 4599
0.00 35,382 320,837,578

$18 - $47,984 45 585,673
TOTAL 35,427 321,423,251
IPFOFD15 IP HOSP STAZ-OTHER FED AMT-FAC 15 5.0 NUM 4600 4604
0.00 35,415 321,326,472

$697 - $1,767 3 40,214
$1,768 - $3,284 3 26,684
$3,285 - $17,085 3 20,399
$17,086 - $42,391 3 9,482
TOTAL 35,427 321,423,251
IPFSTL15 IP HOSP STAZ-OTH ST/LOCAL AMT-FAC 15 5.0 NUM 4605 4609
0.00 35,411 321,270,995

$44 - $277 4 38,988
$278 - $1,767 4 46,924
$1,768 - $5,451 4 39,528
$5,452 - $69,063 4 26,815
TOTAL 35,427 321,423,251
DATE: July 24, 2017
IPFWCP15 IP HOSP STAZ-WORKERS COMP AMT-FAC 15 5.0 NUM 4610 4614
0.00 35,412 321,233,825

$4,766 - $87,139 15 189,426
TOTAL 35,427 321,423,251
IPFOPR15 IP HOSP STAZ - OTH PRIVATE AMT-FAC 15 6.0 NUM 4615 4620
0.00 35,322 320,267,503

$29 - $150,216 105 1,155,748
TOTAL 35,427 321,423,251
IPFOPU15 IP HOSP STAZ - OTH PUBLIC AMT-FAC 15 5.0 NUM 4621 4625
0.00 35,397 321,270,448

$403 - $2,392 8 35,401
$2,393 - $3,793 7 47,579
$3,794 - $6,274 8 34,763
$6,275 - $30,469 7 35,060
TOTAL 35,427 321,423,251
IPFOSR15 IP HOSP STAZ-OT UNCLASS SRCE AMT-FAC 15 6.0 NUM 4626 4631
0.00 35,349 320,546,492

$12 - $1,253 20 279,721
$1,254 - $3,558 19 166,142
$3,559 - $11,065 20 234,947
$11,066 - $134,360 19 195,949
TOTAL 35,427 321,423,251
DATE: July 24, 2017
IPFPTR15 IP HOSP STAZ-PRV & TRI AMT-FAC 15 6.0 NUM 4632 4637
0.00 34,615 311,725,562

$2 - $2,296 203 2,617,450
$2,297 - $6,891 203 2,567,418
$6,892 - $17,918 203 2,138,208
$17,919 - $637,144 203 2,374,613
TOTAL 35,427 321,423,251
IPFOTH15 IP HOSP STAZ-OTH COMBINED AMT-FAC 15 6.0 NUM 4638 4643
0.00 35,188 319,009,534

$12 - $150,216 239 2,413,717
TOTAL 35,427 321,423,251
IPDEXP15 TOTL HOSP STAZ DR EXP 15 5.0 NUM 4644 4648
0.00 33,526 303,015,459

$2 - $427 478 3,946,710
$428 - $1,182 474 4,663,429
$1,183 - $2,571 474 4,564,373
$2,572 - $51,328 475 5,233,281
TOTAL 35,427 321,423,251
IPDTCH15 IP HOSP STAY CHARGES - DR 15 6.0 NUM 4649 4654
0.00 33,499 302,829,014

$20 - $1,379 484 4,435,269
$1,380 - $3,523 480 4,564,089
$3,524 - $7,266 482 4,616,451
$7,267 - $148,876 482 4,978,428
TOTAL 35,427 321,423,251
DATE: July 24, 2017
IPDSLF15 IP HOSP STAZ-SELF/FAMILY AMT-DR 15 4.0 NUM 4655 4658
0.00 34,965 316,144,626

$1 - $46 118 1,266,547
$47 - $142 114 1,294,541
$143 - $392 116 1,303,313
$393 - $2,387 114 1,414,224
TOTAL 35,427 321,423,251
IPDMCR15 IP HOSP STAZ-MEDICARE AMT- DR 15 5.0 NUM 4659 4663
0.00 34,642 312,980,617

$2 - $338 197 2,150,440
$339 - $868 196 2,117,108
$869 - $1,976 196 2,146,429
$1,977 - $20,489 196 2,028,657
TOTAL 35,427 321,423,251
IPDMCD15 IP HOSP STAZ-MEDICAID AMT-DR 15 4.0 NUM 4664 4667
0.00 34,765 316,870,092

$2 - $116 168 1,195,172
$117 - $411 164 1,043,785
$412 - $1,100 166 1,226,406
$1,101 - $8,168 164 1,087,796
TOTAL 35,427 321,423,251
DATE: July 24, 2017
IPDPRV15 IP HOSP STAZ-PRIV INS AMT-DR 15 5.0 NUM 4668 4672
0.00 34,663 312,328,815

$1 - $278 196 2,476,695
$279 - $970 186 2,178,985
$971 - $2,529 192 2,111,341
$2,530 - $50,564 190 2,327,414
TOTAL 35,427 321,423,251
IPDVA15 IP HOSP STAZ-VA/CHAMPVA AMT-DR 15 4.0 NUM 4673 4676
0.00 35,387 321,011,574

$12 - $106 10 111,025
$107 - $324 11 120,159
$325 - $1,207 9 78,402
$1,208 - $5,006 10 102,091
TOTAL 35,427 321,423,251
IPDTRI15 IP HOSP STAZ-TRICARE AMT-DR 15 4.0 NUM 4677 4680
0.00 35,388 320,911,334

$2 - $195 10 135,588
$196 - $338 10 130,167
$339 - $749 10 137,846
$750 - $3,809 9 108,316
TOTAL 35,427 321,423,251
IPDOFD15 IP HOSP STAZ-OTHER FED AMT-DR 15 4.0 NUM 4681 4684
0.00 35,425 321,407,343

$9 - $1,078 2 15,907
TOTAL 35,427 321,423,251
DATE: July 24, 2017
IPDSTL15 IP HOSP STAZ-OTH ST/LOCAL AMT-DR 15 3.0 NUM 4685 4687
0.00 35,407 321,264,530

$22 - $114 5 54,019
$115 - $334 5 35,920
$335 - $598 5 40,177
$599 - $727 5 28,605
TOTAL 35,427 321,423,251
IPDWCP15 IP HOSP STAZ-WORKERS COMP AMT-DR 15 4.0 NUM 4688 4691
0.00 35,412 321,241,946

$39 - $667 4 22,197
$668 - $1,288 4 60,154
$1,289 - $3,071 4 65,083
$3,072 - $8,507 3 33,872
TOTAL 35,427 321,423,251
IPDOPR15 IP HOSP STAZ - OTH PRIVATE AMT-DR 15 5.0 NUM 4692 4696
0.00 35,252 319,778,571

$3 - $95 44 455,701
$96 - $289 44 418,051
$290 - $1,082 44 409,606
$1,083 - $13,043 43 361,322
TOTAL 35,427 321,423,251
DATE: July 24, 2017
IPDOPU15 IP HOSP STAZ - OTH PUBLIC AMT-DR 15 4.0 NUM 4697 4700
0.00 35,384 321,166,378

$15 - $102 11 86,393
$103 - $319 11 59,383
$320 - $806 11 45,667
$807 - $9,651 10 65,430
TOTAL 35,427 321,423,251
IPDOSR15 IP HOSP STAZ-OT UNCLASS SORCE AMT-DR 15 4.0 NUM 4701 4704
0.00 35,291 320,112,734

$1 - $38 35 351,177
$39 - $141 33 312,460
$142 - $552 34 339,642
$553 - $3,312 34 307,238
TOTAL 35,427 321,423,251
IPDPTR15 IP HOSP STAZ-PRV & TRI AMT-DR 15 5.0 NUM 4705 4709
0.00 34,635 311,993,720

$1 - $278 204 2,547,590
$279 - $951 192 2,269,492
$952 - $2,491 198 2,120,109
$2,492 - $50,564 198 2,492,340
TOTAL 35,427 321,423,251
DATE: July 24, 2017
IPDOTH15 IP HOSP STAZ-OTH COMBINED AMT-DR 15 5.0 NUM 4710 4714
0.00 35,090 318,358,231

$1 - $78 85 861,359
$79 - $269 84 729,038
$270 - $845 84 814,899
$846 - $13,043 84 659,724
TOTAL 35,427 321,423,251
IPNGTD15 # NIGHTS IN HOSP FOR DISCHARGES, 2015 3.0 NUM 4715 4717
0 33,313 301,065,990
1 - 370 2,114 20,357,261
TOTAL 35,427 321,423,251
DVTOT15 # DENTAL CARE VISITS 15 2.0 NUM 4718 4719
0 22,302 183,587,532
1 - 21 13,125 137,835,719
TOTAL 35,427 321,423,251
DVTTCH15 TOTAL DENTAL CARE VISIT CHARGES 15 5.0 NUM 4720 4724
0.00 22,383 184,314,271

$5 - $165 3,266 32,195,406
$166 - $300 3,264 33,506,763
$301 - $685 3,258 35,477,786
$686 - $85,629 3,256 35,929,024
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DVTEXP15 TOTAL DENTAL CARE EXP 15 5.0 NUM 4725 4729
0.00 22,636 187,118,896

$5 - $128 3,206 28,230,037
$129 - $244 3,209 33,613,757
$245 - $566 3,184 36,364,832
$567 - $30,000 3,192 36,095,729
TOTAL 35,427 321,423,251
DVTSLF15 ALL DENTAL CARE - SELF/FAMILY AMT 15 5.0 NUM 4730 4734
0.00 28,842 242,262,745

$1 - $58 1,655 19,392,832
$59 - $155 1,650 19,707,206
$156 - $450 1,652 20,332,594
$451 - $30,000 1,628 19,727,874
TOTAL 35,427 321,423,251
DVTMCR15 ALL DENTAL CARE - MEDICARE AMT 15 5.0 NUM 4735 4739
0.00 35,188 318,786,913

$5 - $133 60 764,525
$134 - $245 60 658,476
$246 - $550 60 632,533
$551 - $12,040 59 580,804
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DVTMCD15 ALL DENTAL CARE - MEDICAID AMT 15 5.0 NUM 4740 4744
0.00 31,906 301,199,437

$1 - $82 889 4,822,620
$83 - $140 875 4,883,946
$141 - $282 880 5,155,272
$283 - $12,689 877 5,361,977
TOTAL 35,427 321,423,251
DVTPRV15 ALL DENTAL CARE - PRIVATE INS AMT 15 5.0 NUM 4745 4749
0.00 28,916 238,126,551

$2 - $134 1,634 21,185,963
$135 - $234 1,631 21,136,455
$235 - $491 1,619 20,628,224
$492 - $21,918 1,627 20,346,058
TOTAL 35,427 321,423,251
DVTVA15 ALL DENTAL CARE - VA/CHAMPVA AMT 15 5.0 NUM 4750 4754
0.00 35,354 320,696,676

$35 - $138 19 250,155
$139 - $250 18 155,874
$251 - $758 18 158,059
$759 - $16,409 18 162,487
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DVTTRI15 ALL DENTAL CARE - TRICARE AMT 15 4.0 NUM 4755 4758
0.00 35,328 320,219,919

$31 - $117 25 356,979
$118 - $176 25 315,061
$177 - $254 25 229,211
$255 - $5,093 24 302,080
TOTAL 35,427 321,423,251
DVTOFD15 ALL DENTAL CARE - OTHER FEDRL AMT 15 5.0 NUM 4759 4763
0.00 35,372 320,842,456

$26 - $79 14 156,185
$80 - $162 14 153,637
$163 - $329 14 143,517
$330 - $12,200 13 127,456
TOTAL 35,427 321,423,251
DVTSTL15 ALL DENTAL CARE - OTH ST/LOCAL AMT 15 4.0 NUM 4764 4767
0.00 35,383 321,047,688

$29 - $91 11 112,851
$92 - $194 11 80,843
$195 - $370 11 104,509
$371 - $1,150 11 77,361
TOTAL 35,427 321,423,251
DVTWCP15 ALL DENTAL CARE - WORKERS COMP AMT 15 3.0 NUM 4768 4770
0.00 35,425 321,403,315

$160 - $161 2 19,936
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DVTOPR15 ALL DENTAL CARE - OTH PRIVATE AMT 15 4.0 NUM 4771 4774
0.00 35,196 319,087,188

$20 - $120 58 580,955
$121 - $204 60 663,419
$205 - $438 56 572,937
$439 - $9,500 57 518,752
TOTAL 35,427 321,423,251
DVTOPU15 ALL DENTAL CARE - OTH PUBLIC AMT 15 4.0 NUM 4775 4778
0.00 35,368 321,197,380

$21 - $66 15 60,582
$67 - $99 16 63,701
$100 - $203 14 57,611
$204 - $1,102 14 43,976
TOTAL 35,427 321,423,251
DVTOSR15 ALL DENT CARE-OT UNCLASS SRCE AMT 15 4.0 NUM 4779 4782
0.00 35,354 320,791,927

$7 - $85 19 169,822
$86 - $150 18 148,587
$151 - $275 18 142,168
$276 - $3,700 18 170,747
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DVTPTR15 ALL DENTAL CARE - PRV & TRI AMT 15 5.0 NUM 4783 4787
0.00 28,847 237,373,804

$2 - $134 1,647 21,282,526
$135 - $233 1,647 21,284,552
$234 - $489 1,643 20,962,838
$490 - $21,918 1,643 20,519,530
TOTAL 35,427 321,423,251
DVTOTH15 ALL DENTAL CARE - OTH COMBINED AMT 15 5.0 NUM 4788 4792
0.00 34,984 317,471,598

$7 - $100 116 978,479
$101 - $184 107 1,013,346
$185 - $365 111 1,001,287
$366 - $12,200 109 958,541
TOTAL 35,427 321,423,251
DVGEN15 # GENERAL DENTIST VISITS 15 2.0 NUM 4793 4794
0 23,557 195,464,180
1 - 17 11,870 125,959,071
TOTAL 35,427 321,423,251
DVGTCH15 GENERAL DENTAL CARE VISIT CHARGES 15 5.0 NUM 4795 4799
0.00 23,596 195,901,996

$5 - $153 2,963 29,548,848
$154 - $269 2,953 30,793,179
$270 - $535 2,960 32,921,183
$536 - $31,023 2,955 32,258,044
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DVGEXP15 TOTAL GENERAL DENTIST EXP 15 5.0 NUM 4800 4804
0.00 23,811 198,326,590

$5 - $119 2,917 25,649,348
$120 - $211 2,900 30,765,233
$212 - $437 2,898 33,840,784
$438 - $30,000 2,901 32,841,295
TOTAL 35,427 321,423,251
DVGSLF15 GNRL DENTAL VISITS - SELF/FAM AMT 15 5.0 NUM 4805 4809
0.00 29,726 252,241,160

$1 - $50 1,511 17,779,054
$51 - $126 1,340 16,254,356
$127 - $341 1,426 17,694,598
$342 - $30,000 1,424 17,454,082
TOTAL 35,427 321,423,251
DVGMCR15 GNRL DENTAL VISITS - MEDICARE AMT 15 5.0 NUM 4810 4814
0.00 35,216 319,077,369

$5 - $129 53 678,670
$130 - $213 53 574,028
$214 - $495 53 571,805
$496 - $12,040 52 521,380
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DVGMCD15 GNRL DENTAL VISITS - MEDICAID AMT 15 5.0 NUM 4815 4819
0.00 32,273 303,165,200

$1 - $78 800 4,267,980
$79 - $129 786 4,377,648
$130 - $234 783 4,663,288
$235 - $11,614 785 4,949,135
TOTAL 35,427 321,423,251
DVGPRV15 GNRL DENTAL VISITS - PRIVATE INS AMT 15 5.0 NUM 4820 4824
0.00 29,441 244,521,825

$2 - $124 1,507 19,615,788
$125 - $208 1,491 19,015,646
$209 - $396 1,496 19,937,526
$397 - $14,772 1,492 18,332,466
TOTAL 35,427 321,423,251
DVGVA15 GNRL DENTAL VISITS - VA/CHAMPVA AMT 15 5.0 NUM 4825 4829
0.00 35,366 320,798,320

$35 - $136 16 195,820
$137 - $221 15 131,726
$222 - $818 15 157,277
$819 - $16,409 15 140,108
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DVGTRI15 GNRL DENTAL VISITS-TRICARE AMT 15 4.0 NUM 4830 4833
0.00 35,345 320,408,698

$31 - $105 21 325,331
$106 - $176 22 256,815
$177 - $246 19 159,423
$247 - $5,000 20 272,984
TOTAL 35,427 321,423,251
DVGOFD15 GNRL DENTAL VISITS - OTHER FED AMT 15 4.0 NUM 4834 4837
0.00 35,375 320,885,693

$26 - $82 13 140,584
$83 - $167 13 136,943
$168 - $269 13 147,619
$270 - $6,363 13 112,412
TOTAL 35,427 321,423,251
DVGSTL15 GNRL DENTAL VISITS - OTH ST/LOCAL AMT 15 4.0 NUM 4838 4841
0.00 35,386 321,069,711

$29 - $81 11 112,851
$82 - $180 10 121,528
$181 - $325 10 50,693
$326 - $1,150 10 68,469
TOTAL 35,427 321,423,251
DVGWCP15 GNRL DENTAL VISITS - WORKERS COMP AMT 15 3.0 NUM 4842 4844
0.00 35,425 321,403,315

$160 - $161 2 19,936
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DVGOPR15 GNRL DENTAL VISITS - OTH PRIVATE AMT 15 4.0 NUM 4845 4848
0.00 35,224 319,306,617

$20 - $124 51 537,486
$125 - $200 52 564,063
$201 - $387 52 538,837
$388 - $9,500 48 476,248
TOTAL 35,427 321,423,251
DVGOPU15 GNRL DENTAL VISITS - OTH PUBLIC AMT 15 4.0 NUM 4849 4852
0.00 35,373 321,219,598

$21 - $66 15 63,859
$67 - $98 12 42,011
$99 - $184 14 57,537
$185 - $1,102 13 40,246
TOTAL 35,427 321,423,251
DVGOSR15 GNRL DENT VSTS - OT UNCLASS SRCE AMT 15 4.0 NUM 4853 4856
0.00 35,363 320,895,078

$7 - $59 16 162,040
$60 - $141 16 103,999
$142 - $225 17 130,526
$226 - $3,700 15 131,609
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DVGPTR15 GNRL DENTAL VISITS - PRV & TRI AMT 15 5.0 NUM 4857 4861
0.00 29,385 243,896,291

$2 - $124 1,519 19,716,402
$125 - $208 1,510 19,263,557
$209 - $395 1,505 19,987,464
$396 - $14,772 1,508 18,559,537
TOTAL 35,427 321,423,251
DVGOTH15 GNRL DENTAL VISITS - OTH COMBINED AMT 15 4.0 NUM 4862 4865
0.00 35,030 317,863,422

$7 - $97 100 857,033
$98 - $175 100 898,338
$176 - $329 99 932,038
$330 - $9,500 98 872,419
TOTAL 35,427 321,423,251
DVORTH15 # ORTHODONTIST VISITS 15 2.0 NUM 4866 4867
0 34,485 311,929,471
1 - 21 942 9,493,780
TOTAL 35,427 321,423,251
DVOTCH15 ORTHODONTIST VISIT CHARGES 15 5.0 NUM 4868 4872
0.00 34,622 313,667,403

$11 - $250 203 1,736,393
$251 - $1,100 202 1,989,499
$1,101 - $3,950 199 1,879,866
$3,951 - $85,629 201 2,150,090
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DVOEXP15 TOTAL ORTHODONTIST EXP 15 5.0 NUM 4873 4877
0.00 34,678 314,312,233

$10 - $220 188 1,565,910
$221 - $923 187 1,691,927
$924 - $3,125 187 1,861,702
$3,126 - $20,133 187 1,991,479
TOTAL 35,427 321,423,251
DVOSLF15 ORTHODONTIST VISITS - SELF/FAMILY AMT 15 5.0 NUM 4878 4882
0.00 34,961 316,447,074

$5 - $190 117 1,193,099
$191 - $800 117 1,170,592
$801 - $2,673 116 1,477,884
$2,674 - $13,979 116 1,134,601
TOTAL 35,427 321,423,251
DVOMCR15 ORTHODONTIST VISITS - MEDICARE AMT 15 4.0 NUM 4883 4886
0.00 35,424 321,402,059

$380 - $1,024 3 21,192
TOTAL 35,427 321,423,251
DVOMCD15 ORTHODONTIST VISITS - MEDICAID AMT 15 4.0 NUM 4887 4890
0.00 35,198 320,036,534

$35 - $125 58 380,407
$126 - $351 57 316,400
$352 - $1,378 58 320,416
$1,379 - $9,454 56 369,494
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DVOPRV15 ORTHODONTIST VISITS - PRIVATE INS AMT 15 5.0 NUM 4891 4895
0.00 35,112 317,630,293

$19 - $230 80 1,088,663
$231 - $852 78 868,045
$853 - $2,000 86 1,000,624
$2,001 - $17,000 71 835,626
TOTAL 35,427 321,423,251
DVOVA15 ORTHODONTIST VISITS-VA/CHAMPVA AMT 15 3.0 NUM 4896 4898
0.00 35,425 321,395,132

$126 - $204 2 28,119
TOTAL 35,427 321,423,251
DVOTRI15 ORTHODONTIST VISITS-TRICARE AMT 15 4.0 NUM 4899 4902
0.00 35,422 321,383,545

$117 - $3,300 5 39,706
TOTAL 35,427 321,423,251
DVOOFD15 ORTHODONTIST VISITS-OTHR FED AMT 15 5.0 NUM 4903 4907
0.00 35,425 321,399,665

$1,278 - $12,000 2 23,586
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DVOSTL15 ORTHODONTIST VISITS-OTHR ST/LOCAL AMT 15 3.0 NUM 4908 4910
0.00 35,425 321,409,541

$164 - $426 2 13,710
TOTAL 35,427 321,423,251
DVOWCP15 ORTHODONTIST VISITS-WORKERS COMP AMT 15 1.0 NUM 4911 4911
0.00 35,427 321,423,251

TOTAL 35,427 321,423,251
DVOOPR15 ORTHODONTIST VISITS-OTHR PRIVATE AMT 15 4.0 NUM 4912 4915
0.00 35,417 321,349,538

$36 - $100 3 20,712
$101 - $280 2 9,288
$281 - $776 3 25,552
$777 - $3,000 2 18,161
TOTAL 35,427 321,423,251
DVOOPU15 ORTHODONTIST VISITS-OTHR PUBLIC AMT 15 2.0 NUM 4916 4917
0.00 35,426 321,420,116

$1 - $95 1 3,135
TOTAL 35,427 321,423,251
DATE: July 24, 2017
DVOOSR15 ORTHODONT VSTS - OT UNCLASS SRCE AMT 15 4.0 NUM 4918 4921
0.00 35,422 321,388,058

$90 - $1,557 5 35,193
TOTAL 35,427 321,423,251
DVOPTR15 ORTHODONTIST VISITS - PRV & TRI AMT 15 5.0 NUM 4922 4926
0.00 35,107 317,590,587

$19 - $223 80 1,071,146
$224 - $842 81 890,322
$843 - $2,000 87 1,015,751
$2,001 - $17,000 72 855,445
TOTAL 35,427 321,423,251
DVOOTH15 ORTHODONTIST VISITS-OTH COMBINED AMT 15 5.0 NUM 4927 4931
0.00 35,408 321,284,855

$36 - $100 5 32,541
$101 - $275 5 25,913
$276 - $1,200 5 41,155
$1,201 - $12,000 4 38,786
TOTAL 35,427 321,423,251
HHTOTD15 # HOME HEALTH PROVIDER DAYS, 2015 3.0 NUM 4932 4934

0 34,336 310,985,053
1 - 560 997 9,435,725
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HHAGD15 # AGENCY HOME HEALTH PROVIDER DAYS 15 3.0 NUM 4935 4937

0 34,482 312,424,426
1 - 444 873 8,251,318
TOTAL 35,427 321,423,251
HHATCH15 HOME HEALTH AGENCY VISIT CHARGES 15 6.0 NUM 4938 4943
0.00 34,482 312,424,426

$57 - $1,363 237 2,654,983
$1,364 - $3,907 236 2,275,300
$3,908 - $10,765 236 1,985,675
$10,766 - $202,125 236 2,082,867
TOTAL 35,427 321,423,251
HHAEXP15 TOTAL HOME HEALTH AGENCY EXP 15 6.0 NUM 4944 4949
0.00 34,492 312,483,906

$13 - $1,213 234 2,628,185
$1,214 - $3,564 234 2,303,785
$3,565 - $9,373 234 2,029,543
$9,374 - $201,150 233 1,977,832
TOTAL 35,427 321,423,251
HHASLF15 HOME HLTH AGENCY - SELF/FAMILY AMT 15 5.0 NUM 4950 4954
0.00 35,403 321,153,222

$21 - $131 6 59,572
$132 - $823 6 51,135
$824 - $4,435 6 73,795
$4,436 - $81,856 6 85,526
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HHAMCR15 HOME HLTH AGENCY - MEDICARE AMT 15 5.0 NUM 4955 4959
0.00 34,917 316,264,610

$51 - $1,251 128 1,478,920
$1,252 - $3,138 127 1,220,075
$3,139 - $7,071 128 1,192,905
$7,072 - $67,998 127 1,266,741
TOTAL 35,427 321,423,251
HHAMCD15 HOME HLTH AGENCY - MEDICAID AMT 15 6.0 NUM 4960 4965
0.00 35,086 318,971,215

$13 - $1,551 86 658,145
$1,552 - $4,749 85 704,858
$4,750 - $11,436 85 535,423
$11,437 - $201,150 85 553,610
TOTAL 35,427 321,423,251
HHAPRV15 HOME HLTH AGENCY - PRIVATE INS AMT 15 5.0 NUM 4966 4970
0.00 35,330 320,088,963

$28 - $376 27 391,912
$377 - $1,235 22 274,327
$1,236 - $2,485 24 330,838
$2,486 - $25,242 24 337,211
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HHAVA15 HOME HLTH AGENCY-VA/CHAMPVA AMT 15 4.0 NUM 4971 4974
0.00 35,400 321,078,029

$196 - $492 7 89,659
$493 - $960 7 120,215
$961 - $1,632 7 96,103
$1,633 - $7,656 6 39,244
TOTAL 35,427 321,423,251
HHATRI15 HOME HLTH AGENCY-TRICARE AMT 15 5.0 NUM 4975 4979
0.00 35,421 321,368,116

$456 - $23,570 6 55,135
TOTAL 35,427 321,423,251
HHAOFD15 HOME HLTH AGENCY - OTHER FED AMT 15 1.0 NUM 4980 4980
0.00 35,427 321,423,251

TOTAL 35,427 321,423,251
HHASTL15 HOME HLTH AGENCY-OTHR ST/LOCAL AMT 15 5.0 NUM 4981 4985
0.00 35,329 320,630,929

$51 - $450 25 202,214
$451 - $1,271 24 156,118
$1,272 - $4,059 25 254,776
$4,060 - $56,979 24 179,213
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HHAWCP15 HOME HLTH AGENCY - WORKERS COMP AMT 15 6.0 NUM 4986 4991
0.00 35,424 321,368,376

$737 - $187,373 3 54,875
TOTAL 35,427 321,423,251
HHAOPR15 HOME HLTH AGENCY - OTH PRIVATE AMT 15 5.0 NUM 4992 4996
0.00 35,384 321,084,362

$25 - $376 12 107,507
$377 - $993 10 71,543
$994 - $1,930 11 65,477
$1,931 - $19,951 10 94,362
TOTAL 35,427 321,423,251
HHAOPU15 HOME HLTH AGENCY - OTH PUBLIC AMT 15 5.0 NUM 4997 5001
0.00 35,417 321,347,194

$423 - $818 3 35,985
$819 - $1,509 2 10,176
$1,510 - $2,966 3 20,525
$2,967 - $15,560 2 9,370
TOTAL 35,427 321,423,251
HHAOSR15 H HLTH AGENCY - OT UNCLASS SRCE AMT 15 6.0 NUM 5002 5007
0.00 35,399 321,174,133

$51 - $249 7 54,565
$250 - $703 8 117,418
$704 - $5,400 6 43,650
$5,401 - $104,040 7 33,485
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HHAPTR15 HOME HLTH AGENCY - PRV & TRI AMT 15 5.0 NUM 5008 5012
0.00 35,324 320,033,828

$28 - $376 27 391,912
$377 - $1,282 25 310,333
$1,283 - $2,852 26 336,076
$2,853 - $25,242 25 351,102
TOTAL 35,427 321,423,251
HHAOTH15 HOME HLTH AGENCY - OTH COMBINED AMT 15 6.0 NUM 5013 5018
0.00 35,259 320,040,829

$25 - $432 43 420,947
$433 - $1,198 41 300,332
$1,199 - $3,853 42 355,611
$3,854 - $131,888 42 305,532
TOTAL 35,427 321,423,251
HHINDD15 # NON-AGENCY HOME HEALTH PROVIDR DAYS 15 3.0 NUM 5019 5021

0 35,328 320,193,263
1 - 392 88 1,078,557
TOTAL 35,427 321,423,251
HHNTCH15 HOME HEALTH NON-AGENCY VISIT CHARGES 15 5.0 NUM 5022 5026
0.00 35,328 320,193,263

$50 - $330 25 393,289
$331 - $1,000 25 301,823
$1,001 - $6,600 25 274,793
$6,601 - $38,768 24 260,082
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HHNEXP15 TOTAL HOME HEALTH NON-AGNCY EXP 15 5.0 NUM 5027 5031
0.00 35,329 320,205,144

$50 - $312 25 408,816
$313 - $1,008 24 274,415
$1,009 - $6,600 25 274,793
$6,601 - $35,200 24 260,082
TOTAL 35,427 321,423,251
HHNSLF15 HOME HLTH NON-AGNCY - SELF/FAM AMT 15 5.0 NUM 5032 5036
0.00 35,359 320,460,216

$50 - $240 18 289,143
$241 - $815 17 217,703
$816 - $3,160 16 234,653
$3,161 - $34,080 17 221,536
TOTAL 35,427 321,423,251
HHNMCD15 HOME HLTH NON-AGNCY - MEDICAID AMT 15 5.0 NUM 5037 5041
0.00 35,399 321,192,746

$107 - $588 7 107,604
$589 - $1,869 7 26,085
$1,870 - $11,374 7 49,201
$11,375 - $28,480 7 47,615
TOTAL 35,427 321,423,251
HHNMCR15 HOME HLTH NON-AGNCY - MEDICARE AMT 15 4.0 NUM 5042 5045
0.00 35,425 321,393,137

$92 - $2,625 2 30,114
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HHNPRV15 HOME HLTH NON-AGNCY - PRIV INS AMT 15 5.0 NUM 5046 5050
0.00 35,423 321,370,255

$1,300 - $3,650 1 9,509
$3,651 - $8,150 1 14,542
$8,151 - $12,650 1 16,798
$12,651 - $15,000 1 12,146
TOTAL 35,427 321,423,251
HHNVA15 HOME HLTH NON-AGNCY-VA/CHAMPVA AMT 15 2.0 NUM 5051 5052
0.00 35,424 321,394,201

$58 - $60 3 29,050
TOTAL 35,427 321,423,251
HHNTRI15 HOME HLTH NON-AGNCY-TRICARE AMT 15 2.0 NUM 5053 5054
0.00 35,426 321,406,471

$1 - $24 1 16,779
TOTAL 35,427 321,423,251
HHNOFD15 HOME HLTH NON-AGNCY-OTHR FED AMT 15 1.0 NUM 5055 5055
0.00 35,427 321,423,251

TOTAL 35,427 321,423,251
HHNSTL15 HOME HLTH NON-AGNCY-OTHR ST/LOCL AMT 15 1.0 NUM 5056 5056
0.00 35,427 321,423,251

TOTAL 35,427 321,423,251
DATE: July 24, 2017
HHNWCP15 HOME HLTH NON-AGNCY-WORKERS COMP AMT 15 1.0 NUM 5057 5057
0.00 35,427 321,423,251

TOTAL 35,427 321,423,251
HHNOPR15 HOME HLTH NON-AGNCY-OTH PRIVATE AMT 15 3.0 NUM 5058 5060
0.00 35,425 321,406,472

$240 - $265 2 16,779
TOTAL 35,427 321,423,251
HHNOPU15 HOME HLTH NON-AGNCY-OTH PUBLIC AMT 15 1.0 NUM 5061 5061
0.00 35,427 321,423,251

TOTAL 35,427 321,423,251
HHNOSR15 H HLTH NON-AGNCY-OT UNCLASS SRCE AMT 15 3.0 NUM 5062 5064
0.00 35,426 321,413,547

$1 - $225 1 9,704
TOTAL 35,427 321,423,251
HHNPTR15 HOME HLTH NON-AGNCY - PRV & TRI AMT 15 5.0 NUM 5065 5069
0.00 35,422 321,353,476

$24 - $15,000 5 69,775
TOTAL 35,427 321,423,251
DATE: July 24, 2017
HHNOTH15 HOME HLTH NON-AGNCY-OTH COMBINED AMT 15 3.0 NUM 5070 5072
0.00 35,424 321,396,768

$225 - $265 3 26,483
TOTAL 35,427 321,423,251
HHINFD15 # INFORMAL HOME HEALTH PROVIDER DAYS 15 3.0 NUM 5073 5075

0 35,279 320,100,088
1 - 560 135 1,201,292
TOTAL 35,427 321,423,251
VISEXP15 TOTAL GLASSES/CONTACT LENS EXP 15 4.0 NUM 5076 5079
0.00 30,951 273,370,187

$5 - $120 1,129 10,863,374
$121 - $230 1,129 11,851,853
$231 - $400 1,142 12,384,006
$401 - $5,000 1,076 12,953,831
TOTAL 35,427 321,423,251
VISTCH15 GLASSES/CONTACT LENSES CHARGES 15 5.0 NUM 5080 5084
0.00 30,889 272,746,209

$5 - $130 1,146 11,246,757
$131 - $249 1,124 11,952,764
$250 - $426 1,136 12,038,494
$427 - $13,940 1,132 13,439,027
TOTAL 35,427 321,423,251
DATE: July 24, 2017
VISSLF15 GLASSES/CNTCT LENSES -SELF/FAM AMT 15 4.0 NUM 5085 5088
0.00 31,863 280,497,106

$1 - $80 942 10,232,034
$81 - $165 843 9,451,042
$166 - $300 918 10,453,695
$301 - $3,000 861 10,789,374
TOTAL 35,427 321,423,251
VISMCR15 GLASSES/CNTCT LENSES-MEDICARE AMT 15 4.0 NUM 5089 5092
0.00 35,294 320,097,207

$20 - $97 34 302,425
$98 - $138 36 397,473
$139 - $285 30 308,501
$286 - $1,027 33 317,645
TOTAL 35,427 321,423,251
VISMCD15 GLASSES/CNTCT LENSES-MEDICAID AMT 15 4.0 NUM 5093 5096
0.00 34,702 317,223,752

$3 - $74 185 1,221,944
$75 - $143 178 1,045,059
$144 - $261 181 936,242
$262 - $1,476 181 996,254
TOTAL 35,427 321,423,251
DATE: July 24, 2017
VISPRV15 GLASSES/CNTCT LENSES-PRIV INS AMT 15 4.0 NUM 5097 5100
0.00 34,060 303,930,386

$2 - $110 355 4,614,239
$111 - $184 330 4,290,270
$185 - $328 342 4,145,787
$329 - $4,147 340 4,442,568
TOTAL 35,427 321,423,251
VISVA15 GLASSES/CNTCT LENSES-VA/CHAMPVA AMT 15 4.0 NUM 5101 5104
0.00 35,379 320,954,336

$5 - $49 12 86,821
$50 - $130 13 102,504
$131 - $270 11 116,734
$271 - $1,066 12 162,856
TOTAL 35,427 321,423,251
VISTRI15 GLASSES/LENSES-TRICARE AMT 15 3.0 NUM 5105 5107
0.00 35,413 321,325,008

$30 - $89 4 9,875
$90 - $100 4 27,776
$101 - $130 3 41,955
$131 - $800 3 18,637
TOTAL 35,427 321,423,251
DATE: July 24, 2017
VISOFD15 GLASSES/CNTCT LENSES-OTHR FED AMT 15 3.0 NUM 5108 5110
0.00 35,419 321,386,673

$10 - $63 2 0
$64 - $147 2 15,832
$148 - $188 2 2,013
$189 - $750 2 18,732
TOTAL 35,427 321,423,251
VISSTL15 GLASSES/CNTCT LENSES-OTH ST/LOCL AMT 15 3.0 NUM 5111 5113
0.00 35,419 321,369,258

$17 - $275 8 53,993
TOTAL 35,427 321,423,251
VISWCP15 GLASSES/CNTCT LENSES-WORKERS COMP AMT 15 3.0 NUM 5114 5116
0.00 35,426 321,413,215

$1 - $500 1 10,036
TOTAL 35,427 321,423,251
VISOPR15 GLASSES/CNTCT LENSES-OTH PRIVATE AMT 15 4.0 NUM 5117 5120
0.00 35,377 320,894,309

$7 - $60 13 156,103
$61 - $132 12 101,023
$133 - $273 13 162,238
$274 - $2,380 12 109,578
TOTAL 35,427 321,423,251
DATE: July 24, 2017
VISOPU15 GLASSES/CNTCT LENSES-OTH PUBLIC AMT 15 3.0 NUM 5121 5123
0.00 35,420 321,396,486

$14 - $679 7 26,765
TOTAL 35,427 321,423,251
VISOSR15 GLASES/CNTCT LENSE-OT UNCLAS SRCE AMT 15 4.0 NUM 5124 5127
0.00 35,413 321,291,710

$79 - $5,000 14 131,541
TOTAL 35,427 321,423,251
VISPTR15 GLASSES/CNTCT LENSES-PRV & TRI AMT 15 4.0 NUM 5128 5131
0.00 34,048 303,845,303

$2 - $110 361 4,638,730
$111 - $184 331 4,319,065
$185 - $327 343 4,146,963
$328 - $4,147 344 4,473,190
TOTAL 35,427 321,423,251
VISOTH15 GLASSES/CNTCT LENSES-OTH COMBINED AMT 15 4.0 NUM 5132 5135
0.00 35,343 320,662,058

$7 - $65 21 198,985
$66 - $150 24 175,818
$151 - $317 18 213,512
$318 - $5,000 21 172,878
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OTHTCH15 OTHER EQUP/SUPPLIES CHARGES 15 5.0 NUM 5136 5140
0.00 33,718 302,128,456

$5 - $49 430 4,524,050
$50 - $200 441 4,898,983
$201 - $660 411 4,826,667
$661 - $76,940 427 5,045,094
TOTAL 35,427 321,423,251
OTHEXP15 TOT OTHER EQUIP/SPLY (EXCL DIAB) EXP 15 5.0 NUM 5141 5145
0.00 33,762 302,619,026

$4 - $41 422 4,376,351
$42 - $150 418 4,666,159
$151 - $550 416 4,815,855
$551 - $67,417 409 4,945,860
TOTAL 35,427 321,423,251
OTHSLF15 OTHER EQUP/SUPPLIES-SELF/FAM AMT 15 5.0 NUM 5146 5150
0.00 34,326 308,409,822

$1 - $25 280 3,146,172
$26 - $74 271 2,939,586
$75 - $250 278 3,503,754
$251 - $54,999 272 3,423,917
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OTHMCR15 OTHER EQUP/SUPPLIES-MEDICARE AMT 15 5.0 NUM 5151 5155
0.00 35,177 318,475,195

$6 - $100 70 787,825
$101 - $238 55 598,662
$239 - $621 63 738,379
$622 - $28,208 62 823,189
TOTAL 35,427 321,423,251
OTHMCD15 OTHER EQUP/SUPPLIES-MEDICAID AMT 15 5.0 NUM 5156 5160
0.00 35,116 319,009,355

$3 - $35 78 720,940
$36 - $164 83 578,124
$165 - $574 73 528,030
$575 - $35,019 77 586,802
TOTAL 35,427 321,423,251
OTHPRV15 OTHER EQUP/SUPPLIES-PRIV INS AMT 15 5.0 NUM 5161 5165
0.00 35,009 315,641,293

$2 - $82 105 1,416,759
$83 - $191 105 1,431,762
$192 - $562 105 1,412,792
$563 - $28,998 103 1,520,645
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OTHVA15 OTHER EQUP/SUPPLY-VA/CHAMPVA AMT 15 4.0 NUM 5166 5169
0.00 35,399 321,125,738

$5 - $60 7 85,671
$61 - $150 8 91,178
$151 - $546 6 45,633
$547 - $8,355 7 75,031
TOTAL 35,427 321,423,251
OTHTRI15 OTHER EQUP/SUPPLY-TRICARE AMT 15 4.0 NUM 5170 5173
0.00 35,413 321,271,710

$19 - $46 4 38,198
$47 - $92 3 21,681
$93 - $292 4 39,835
$293 - $2,000 3 51,827
TOTAL 35,427 321,423,251
OTHOFD15 OTHER EQUP/SUPPLIES-OTHR FEDRL AMT 15 2.0 NUM 5174 5175
0.00 35,426 321,418,422

$1 - $15 1 4,829
TOTAL 35,427 321,423,251
OTHSTL15 OTHER EQUP/SUPPLY-OTHR ST/LOCAL AMT 15 3.0 NUM 5176 5178
0.00 35,423 321,388,668

$5 - $13 1 4,829
$14 - $91 1 4,744
$92 - $186 1 11,905
$187 - $210 1 13,105
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OTHWCP15 OTHER EQUP/SUPPLY - WORKERS COMP AMT 15 3.0 NUM 5179 5181
0.00 35,421 321,365,047

$20 - $682 6 58,204
TOTAL 35,427 321,423,251
OTHOPR15 OTHER EQUP/SUPPLY-OTH PRIVATE AMT 15 4.0 NUM 5182 5185
0.00 35,400 321,076,116

$7 - $52 7 58,150
$53 - $110 7 73,316
$111 - $786 7 95,310
$787 - $4,690 6 120,360
TOTAL 35,427 321,423,251
OTHOPU15 OTHER EQUP/SUPPLY - OTH PUBLIC AMT 15 3.0 NUM 5186 5188
0.00 35,423 321,378,945

$25 - $34 1 5,726
$35 - $84 1 9,193
$85 - $169 1 16,797
$170 - $213 1 12,590
TOTAL 35,427 321,423,251
OTHOSR15 OTH EQUP/SUPLY - OT UNCLASS SRCE AMT 15 4.0 NUM 5189 5192
0.00 35,417 321,344,292

$15 - $74 3 23,320
$75 - $120 3 17,158
$121 - $750 2 14,635
$751 - $2,676 2 23,846
TOTAL 35,427 321,423,251
DATE: July 24, 2017
OTHPTR15 OTHER EQUP/SUPPLY - PRV & TRI AMT 15 5.0 NUM 5193 5197
0.00 35,000 315,541,193

$2 - $80 107 1,402,422
$81 - $191 109 1,489,124
$192 - $553 105 1,424,550
$554 - $28,998 106 1,565,961
TOTAL 35,427 321,423,251
OTHOTH15 OTHER EQUP/SUPPLY - OTH COMBINED AMT 15 4.0 NUM 5198 5201
0.00 35,383 320,930,172

$7 - $46 11 83,989
$47 - $117 11 123,871
$118 - $623 11 118,678
$624 - $4,690 11 166,541
TOTAL 35,427 321,423,251
RXTOT15 # PRESC MEDS INCL REFILLS 15 3.0 NUM 5202 5204
0 15,823 124,024,661
1 - 278 19,604 197,398,590
TOTAL 35,427 321,423,251
RXEXP15 TOTAL RX-EXP 15 6.0 NUM 5205 5210
0.00 15,863 124,370,333

$1 - $45 4,959 43,546,210
$46 - $247 4,833 48,388,604
$248 - $1,278 4,882 52,095,000
$1,279 - $414,941 4,890 53,023,104
TOTAL 35,427 321,423,251
DATE: July 24, 2017
RXSLF15 TOTAL RX-SELF/FAMILY AMT 15 5.0 NUM 5211 5215
0.00 19,379 149,231,399

$1 - $17 4,096 38,934,444
$18 - $62 3,935 40,444,983
$63 - $216 4,010 44,267,574
$217 - $34,616 4,007 48,544,850
TOTAL 35,427 321,423,251
RXMCR15 TOTAL RX-MEDICARE AMT 15 6.0 NUM 5216 5221
0.00 31,247 277,919,515

$1 - $159 1,047 11,331,130
$160 - $783 1,044 11,120,239
$784 - $2,917 1,044 10,922,225
$2,918 - $414,174 1,045 10,130,141
TOTAL 35,427 321,423,251
RXMCD15 TOTAL RX-MEDICAID AMT 15 5.0 NUM 5222 5226
0.00 30,048 285,692,189

$1 - $20 1,373 8,733,278
$21 - $88 1,320 8,196,784
$89 - $526 1,343 9,100,319
$527 - $72,302 1,343 9,700,681
TOTAL 35,427 321,423,251
DATE: July 24, 2017
RXPRV15 TOTAL RX-PRIVATE INS AMT 15 6.0 NUM 5227 5232
0.00 28,183 230,385,621

$1 - $43 1,842 22,085,535
$44 - $216 1,782 22,172,194
$217 - $942 1,811 22,567,263
$943 - $170,308 1,809 24,212,639
TOTAL 35,427 321,423,251
RXVA15 TOTAL RX-VA/CHAMPVA AMT 15 5.0 NUM 5233 5237
0.00 35,000 317,012,869

$2 - $105 107 1,051,840
$106 - $362 107 1,096,899
$363 - $1,323 107 1,076,878
$1,324 - $31,197 106 1,184,765
TOTAL 35,427 321,423,251
RXTRI15 TOTAL RX-TRICARE AMT 15 5.0 NUM 5238 5242
0.00 35,084 317,357,038

$1 - $72 86 962,961
$73 - $336 86 922,464
$337 - $1,418 86 1,109,472
$1,419 - $31,800 85 1,071,316
TOTAL 35,427 321,423,251
DATE: July 24, 2017
RXOFD15 TOTAL RX-OTHER FED AMT 15 5.0 NUM 5243 5247
0.00 35,141 318,649,235

$1 - $9 82 748,235
$10 - $42 61 540,597
$43 - $268 72 683,067
$269 - $10,370 71 802,116
TOTAL 35,427 321,423,251
RXSTL15 TOTAL RX-OTHER ST/LOCAL AMT 15 5.0 NUM 5248 5252
0.00 34,822 315,465,297

$1 - $10 160 1,498,714
$11 - $41 143 1,459,551
$42 - $264 151 1,494,501
$265 - $45,330 151 1,505,188
TOTAL 35,427 321,423,251
RXWCP15 TOTAL RX-WORKERS COMP AMT 15 5.0 NUM 5253 5257
0.00 35,180 318,808,472

$1 - $10 68 761,468
$11 - $35 56 564,522
$36 - $297 62 634,815
$298 - $15,125 61 653,974
TOTAL 35,427 321,423,251
DATE: July 24, 2017
RXOPR15 TOTAL RX-OTH PRIVATE AMT 15 5.0 NUM 5258 5262
0.00 34,629 313,884,336

$1 - $15 208 1,556,547
$16 - $70 192 1,679,116
$71 - $399 199 2,224,074
$400 - $38,983 199 2,079,178
TOTAL 35,427 321,423,251
RXOPU15 TOTAL RX-OTH PUBLIC AMT 15 5.0 NUM 5263 5267
0.00 35,204 319,840,325

$1 - $11 56 383,989
$12 - $47 56 404,010
$48 - $212 56 335,608
$213 - $68,289 55 459,319
TOTAL 35,427 321,423,251
RXOSR15 TOT RX-OTH UNCLASS SRCE AMT 15 5.0 NUM 5268 5272
0.00 35,295 320,354,464

$1 - $11 35 263,673
$12 - $59 33 250,110
$60 - $300 31 260,556
$301 - $11,532 33 294,448
TOTAL 35,427 321,423,251
DATE: July 24, 2017
RXPTR15 TOTAL RX-PRV & TRI AMT 15 6.0 NUM 5273 5278
0.00 27,921 227,222,971

$1 - $45 1,900 22,815,875
$46 - $225 1,856 22,879,271
$226 - $994 1,874 23,406,558
$995 - $170,308 1,876 25,098,577
TOTAL 35,427 321,423,251
RXOTH15 TOTAL RX-OTH COMBINED AMT 15 5.0 NUM 5279 5283
0.00 33,618 304,565,187

$1 - $12 459 3,859,705
$13 - $65 453 3,945,482
$66 - $366 446 4,460,855
$367 - $68,289 451 4,592,021
TOTAL 35,427 321,423,251
PERWT15F FINAL PERSON WEIGHT, 2015 12.6 NUM 5284 5295
VALUE UNWEIGHTED
0.000000 WEIGHT 1,534

637.170836 - 98103.984953 WEIGHT 33,893
TOTAL 35,427
FAMWT15F FINAL FAMILY WEIGHT, 2015 12.6 NUM 5296 5307
VALUE UNWEIGHTED
0.000000 WEIGHT 958

785.341714 - 82695.124394 WEIGHT 34,469
TOTAL 35,427
DATE: July 24, 2017
FAMWT15C POV ADJ FAMILY WGT-CPS FAM ON 12/31/15 12.6 NUM 5308 5319
VALUE UNWEIGHTED
0.000000 WEIGHT 1,577

640.386767 - 82695.124394 WEIGHT 33,850
TOTAL 35,427
SAQWT15F FINAL SAQ PERSON WEIGHT, 2015 13.6 NUM 5320 5332
VALUE UNWEIGHTED
0.000000 WEIGHT 13,794

819.220295 - 100889.190913 WEIGHT 21,633
TOTAL 35,427
DIABW15F FINAL DIABETES CARE SUPPLEMENT WEIGHT 12.6 NUM 5333 5344
VALUE UNWEIGHTED
0.000000 WEIGHT 33,250

857.350912 - 71804.674387 WEIGHT 2,177
TOTAL 35,427
VARSTR VARIANCE ESTIMATION STRATUM - 2015 4.0 NUM 5345 5348
VALUE UNWEIGHTED
1001 - 1165 35,427

TOTAL 35,427
VARPSU VARIANCE ESTIMATION PSU - 2015 1.0 NUM 5349 5349
VALUE UNWEIGHTED
1 - 3 35,427
TOTAL 35,427

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MEPS HC-181 PAGE: 1

2015 FULL YEAR CONSOLIDATED DATA CODEBOOK

DATE: July 24, 2017

ALPHABETICAL AND POSITIONAL LISTING OF VARIABLES

-----ALPHABETICAL LISTING OF VARIABLES-----

START END NAME DESCRIPTION

902 903 ACCELI42 PERS ELIGIBLE FOR ACCESS SUPPLEMENT-R4/2

DATE: July 24, 2017

ALPHABETICAL AND POSITIONAL LISTING OF VARIABLES

-----ALPHABETICAL LISTING OF VARIABLES-----

START END NAME DESCRIPTION

768 769 ADPAIN42 SAQ 4WKS:PAIN LIMITS NORMAL WORK SF-12V2

DATE: July 24, 2017

ALPHABETICAL AND POSITIONAL LISTING OF VARIABLES

-----ALPHABETICAL LISTING OF VARIABLES-----

START END NAME DESCRIPTION

4029 4032 AMAWCP15 PHYS ASS T AMB VSTS-WRKERS COMP AMT 15

DATE: July 24, 2017

ALPHABETICAL AND POSITIONAL LISTING OF VARIABLES

-----ALPHABETICAL LISTING OF VARIABLES-----

START END NAME DESCRIPTION

DATE: July 24, 2017

ALPHABETICAL AND POSITIONAL LISTING OF VARIABLES

-----ALPHABETICAL LISTING OF VARIABLES-----

START END NAME DESCRIPTION

385 386 ASSTIL53 DOES PERSON STILL HAVE ASTHMA - RD 5/3

DATE: July 24, 2017

ALPHABETICAL AND POSITIONAL LISTING OF VARIABLES

-----ALPHABETICAL LISTING OF VARIABLES-----

START END NAME DESCRIPTION

361 362 CASKINDK CANCER DIAGNOSED-SKIN-UNKNOWN TYPE (>17)

DATE: July 24, 2017

ALPHABETICAL AND POSITIONAL LISTING OF VARIABLES

-----ALPHABETICAL LISTING OF VARIABLES-----

START END NAME DESCRIPTION

539 540 CHTHCO42 CSHCN:THER COND LAST 12+ MOS (0-17)-R4/2

DATE: July 24, 2017

ALPHABETICAL AND POSITIONAL LISTING OF VARIABLES

-----ALPHABETICAL LISTING OF VARIABLES-----

START END NAME DESCRIPTION

1067 1068 DIFFWG42 PERSONS WAGES DIFFERENT THIS RD42 AT CMJ

DATE: July 24, 2017

ALPHABETICAL AND POSITIONAL LISTING OF VARIABLES

-----ALPHABETICAL LISTING OF VARIABLES-----

START END NAME DESCRIPTION

834 835 DSFT1453 DCS: HAD FEET CHECKED DURING 2014

DATE: July 24, 2017

ALPHABETICAL AND POSITIONAL LISTING OF VARIABLES

-----ALPHABETICAL LISTING OF VARIABLES-----

START END NAME DESCRIPTION

4911 4911 DVOWCP15 ORTHODONTIST VISITS-WORKERS COMP AMT 15

DATE: July 24, 2017

ALPHABETICAL AND POSITIONAL LISTING OF VARIABLES

-----ALPHABETICAL LISTING OF VARIABLES-----

START END NAME DESCRIPTION

4313 4316 ERDMCD15 ER-MEDICAID AMT - DR 15

DATE: July 24, 2017

ALPHABETICAL AND POSITIONAL LISTING OF VARIABLES

-----ALPHABETICAL LISTING OF VARIABLES-----

START END NAME DESCRIPTION

4136 4141 ERTTCH15 ER FACILITY + DR VISIT CHARGES 15

DATE: July 24, 2017

ALPHABETICAL AND POSITIONAL LISTING OF VARIABLES