Skip to contents

Outpatient Prospective Payment System (OPPS) Capitations

Source: R/pfs.R
search_opps.Rd

Contains the payment amounts after the application of the OPPS-based payment caps, except for carrier priced codes. For carrier price codes, the field only contains the OPPS-based payment caps. Carrier prices cannot exceed the OPPS-based payment caps.

Usage

search_opps(hcpcs_code = NULL, mac = NULL, locality = NULL, ...)

Arguments

hcpcs_code

<chr> vector of 5-character HCPCS codes

mac

<chr> 5-digit Medicare Administrative Contractor (MAC) ID

locality

<chr> vector of 2-digit Locality IDs

...

These dots are for future extensions and must be empty.

Value

a tibble

See also

Other Physician Fee Schedule Sources: search_anesthesia(), search_gpcis(), search_payment(), search_rvus()

Examples

search_opps(hcpcs_code = "0633T")
#> # A tibble: 115 × 7
#>    hcpcs_code mod   status mac   locality opps_fac_price opps_non_price
#>    <chr>      <chr> <chr>  <chr> <chr>             <dbl>          <dbl>
#>  1 0633T      TC    C      01112 05                 148.           148.
#>  2 0633T      TC    C      01112 09                 150.           150.
#>  3 0633T      TC    C      01112 17                 124.           124.
#>  4 0633T      TC    C      01112 18                 125.           125.
#>  5 0633T      TC    C      01112 51                 137.           137.
#>  6 0633T      TC    C      01112 52                 148.           148.
#>  7 0633T      TC    C      01112 53                 137.           137.
#>  8 0633T      TC    C      01112 54                 114.           114.
#>  9 0633T      TC    C      01112 55                 114.           114.
#> 10 0633T      TC    C      01112 56                 114.           114.
#> 11 0633T      TC    C      01112 57                 114.           114.
#> 12 0633T      TC    C      01112 58                 114.           114.
#> 13 0633T      TC    C      01112 59                 114.           114.
#> 14 0633T      TC    C      01112 60                 114.           114.
#> 15 0633T      TC    C      01112 61                 114.           114.
#> 16 0633T      TC    C      01112 62                 114.           114.
#> 17 0633T      TC    C      01112 63                 121.           121.
#> 18 0633T      TC    C      01112 64                 122.           122.
#> 19 0633T      TC    C      01112 65                 150.           150.
#> 20 0633T      TC    C      01112 66                 126.           126.
#> # ℹ 95 more rows