Public Use Data File Format Specifications

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Detailed Variable Information

Some variables and response categories have been changed over time. Where changes have been made, the variable or value descriptions include "date of first use" and "date of last use." For example, the field of license (LICNFELD) category "Art/Recreation Therapist" was first made available for use by reporting entities on November 22, 1999. Such practitioners previously would have been reported using another field of license category. If no "Date of Last Use" is specified, the category is still in use. Researchers should take the date of first use or last use of a value into account in interpreting analysis results. If no dates are specified, the variable and values are applicable to all records.

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SEQNO

Record Number. SEQNO is a unique number assigned to each record. The assigned numbers are not necessarily continuous or sequential. In addition, the SEQNO assigned to any particular record may not be the same in different editions of the Public Use File.

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RECTYPE

Record Type. RECTYPE is the form of Report submitted to the NPDB. Possible values include: Malpractice Payment (old reporting format), Malpractice Payment (new reporting format), Adverse Action (old reporting format), or Adverse Action (new consolidated adverse action "CAAR" format). Note that in this file some variables from type "M" malpractice payment reports and some variables from type "A" adverse action records have been translated into the codes currently used in the new type "P" and type "C" records. This was done to facilitate analysis. These translations are not in the records disclosed in response to queriers submitted to the NDPB by to authorized querying entities. Queriers receive full copies of reports as submitted.

Value	Label
A	Adverse Action Report (format used prior to 11/22/1999 opening of the Healthcare Integrity and Protection Data Bank)
C	Adverse Action Report (new consolidated "CAAR" reporting format first used 11/22/1999)
M	Malpractice Payment (format used prior to 1/31/2004)
P	Malpractice Payment (format first used 1/31/2004)

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REPTYPE

Report Type.

Value	Label
101	Insurance Company Malpractice Payment (Individuals)
102	Non-Insurance Company Malpractice Payment (Individuals)
301	State Licensure or Certification Action (Individuals, Legacy Format)
302	State Licensure or Certification Action (Indiv, CAAR, 11/22/99 and later)
401	Clinical Priv./Panel Mmbrshp Action (Indiv., Legacy Format)
402	Clin Priv/Panel Mmbrshp Actn (Indiv,CAAR,11/22/99 & later)
451	Health Plan Action (Individuals)
501	Prof. Society Membership Action (Individuals, Legacy Format)
502	Prof. Society Mmbrshp Action (Indiv, CAAR, 11/22/99 & later)
601	Drug Enforcement Admin. Action (Individuals, Legacy Format)
602	Drug Enforcmnt Admin Action (Indiv, CAAR, 11/22/99 & later)
604	Government Administrative Action (Individuals)
702	HHS-OIG Exclusion Action (Individuals)
703	Exclusions & Debarments--non-HHS (Individuals, CAAR Format)
1302	State Licensure or Certification Action (Organizations)
1451	Health Plan Action (Organization)
1604	Government Administrative Action (Organizations)
1702	HHS-OIG Exclusion Action (Organizations, CAAR Format)
1703	Exclusion or Debarment Action (Organizations)
1803	Accreditation Action (Organizations)

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ORIGYEAR

Year this record (or, if the record was later corrected or changed, the year the original version of this record) was processed into the National Practitioner Data Bank. This variable is a reasonable substitute for year of Judgment or Settlement, which is an optional field, and frequently was not reported in the first few years of NPDB operation. Reports must be made to the NPDB within 30 days of a payment, so in most cases this value represents the year the payment was made or the adverse action was taken.

Value	Label
1990	Sep 1 - Dec 31, 1990
2024	Jan 1 - September 30, 2024

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WORKSTAT

Practitioner's Work State.

See note to users at LICNSTAT variable.

Value	Label
AA	Armed Forces - Americas
AE	Armed Forces - Europe
AK	Alaska
AL	Alabama
AP	Armed Forces - Pacific
AR	Arkansas
AS	American Samoa
AZ	Arizona
CA	California
CO	Colorado
CT	Connecticut
DC	District of Columbia
DE	Delaware
FL	Florida
FM	Federated States of Micronesia
GA	Georgia
GU	Guam
HI	Hawaii
IA	Iowa
ID	Idaho
IL	Illinois
IN	Indiana
KS	Kansas
KY	Kentucky
LA	Louisiana
MA	Massachusetts
MD	Maryland
ME	Maine
MH	Marshall Islands
MI	Michigan
MN	Minnesota
MO	Missouri
MP	Northern Marianas
MS	Mississippi
MT	Montana
NC	North Carolina
ND	North Dakota
NE	Nebraska
NH	New Hampshire
NJ	New Jersey
NM	New Mexico
NV	Nevada
NY	New York
OH	Ohio
OK	Oklahoma
OR	Oregon
PA	Pennsylvania
PR	Puerto Rico
PW	Palau
RI	Rhode Island
SC	South Carolina
SD	South Dakota
TN	Tennessee
TX	Texas
UT	Utah
VA	Virginia
VI	Virgin Islands
VT	Vermont
WA	Washington
WI	Wisconsin
WV	West Virginia
WY	Wyoming

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WORKCTRY

Practitioner's Work Country. (Information for this item is recorded exactly as reported by the reporting entity. Therefore, this field may sometimes include erroneous data - i.e., numerical values, punctuation marks, etc.)

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HOMESTAT

Practitioner's Home State.

See note to users at LICNSTAT variable.

Value	Label
(Same as WORKSTAT)

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HOMECTRY

Practitioner's Home Country. (Information for this item is recorded exactly as reported by the reporting entity. Therefore, this field may sometimes include erroneous data such - i.e., numerical values, punctuation marks, etc.)

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LICNSTAT

Practitioner's State of License (First Listed State of License -- practitioners may be licensed in more than one State. Up to 10 States of license may be reported to the NDPB. Only the first State listed in an NPDB report is provided in this file.)

Value	Label
(Same as WORKSTAT)

Note to users concerning State variables:

Researchers often want to assign reports to a State for analysis purposes. Licensure Actions might normally be assigned to a State on the basis of the practitioner's License State. Other actions and malpractice payments might best be assigned on the basis of the practitioner's work State. However, work State is not a required variable in reports; reporters must report either work State or home State. They may report both. About 86 percent of records contain work State information. About 34 percent contain home State information. For non-licensure reports a commonly used method of assigning State is to create a State variable which equals work State if a work State value was reported and home State if no work State was reported. In SPSS, the following syntax would accomplish this:

STRING State (A2) .
RECODE
workstat
(ELSE=Copy) INTO State.
EXECUTE.
DO IF (Workstat = " ").
RECODE
Homestat
(ELSE=Copy) INTO State.
END IF.
EXECUTE.

Note: In the DO IF (Workstat = " ") statement above, there are two spaces between the quotation marks.

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LICNFELD

Practitioner's Field of License.

Note: Reporting is required for malpractice payments made for all practitioners regardless of their field of license. Prior to implementation of Section 1921, the Public Use File collected reports required for adverse actions (other than exclusions) only for practitioners in license fields 10 through 35 (physicians and dentists). As of March 10, 2010 reporting of licensure adverse actions is collected for all practitioner types.

Important Note: Prior to March 10, 2010, adverse actions concerning practitioners in license fields other than 10 through 35 (physicians and dentists) were occasionally reported to the NPDB although these reports were not required. Since the implementation of Section 1921 licensure actions on all practitioner types have been required to be reported to the NPDB. However, statistical analysis of adverse clinical privileges or professional society action reports for practitioners other than physicians and dentists is not recommended since these reports are not required to be reported and may yield misleading results. Additionally, be aware that some professions have different names in different states and could yield inconclusive results from state to state. For example one state may name a practitioner a counselor, mental health (621) while another state may use the term professional counselor (651) even though the practitioners may provide the same service. Exclusion Actions (REPTYPE = 702), however, are reported for practitioners of all license fields and may be analyzed for all types of practitioners. Malpractice Payments (REPTYPE = 101 and 102) area also reported for practitioners of all license fields and may be analyzed for all types of practitioners.

Value	Label
10	Allopathic Physician (MD)
15	Physician Resident (MD)
20	Osteopathic Physician (DO)
25	Osteopathic Physician Resident (DO)
30	Dentist
35	Dental Resident
50	Pharmacist
55	Pharmacy Intern [available 9/9/2002]
60	Pharmacist, Nuclear
70	Pharmacy Assistant
75	Pharmacy Technician [available 9/9/2002]
76	Other Pharmacy Service Occupation - Not Classified, Specify [available 11/17/2014]
100	Registered Nurse
110	Nurse Anesthetist
120	Nurse Midwife
130	Nurse Practitioner
134	Doctor of Nursing Practice [available 11/8/2010]
135	Advanced Nurse Practitioner [3/5/02 - 9/9/02]
140	LPN or Vocational Nurse
141	Clinical Nurse Specialist [available 9/9/02]
142	Other Nurse Occupation - Not Classified, Specify [available 11/17/2014]
148	Certified Nurse Aide/Nursing Assistant [available 10/17/05]
150	Nurse Aide/Nursing Assistant
160	Home Health Aide (Homemaker)
165	Health Care Aide/Direct Care Worker [available 10/17/05]
170	Psychiatric Technician
175	Certified or Qualified Medication Aide [available 10/17/05]
176	Other Aide Occupation - Not Classified, Specify [available 11/17/2014]
200	Dietitian
210	Nutritionist
211	Other Dietitian/Nutritionist Occupation - Not Classified, Specify [available 11/17/2014]
240	Emergency Medical Responder (EMR) [available 4/5/2019]
250	Emergency Medical Technician (EMT)
260	EMT, Cardiac/Critical Care
270	Advanced Emergency Medical Technician (AEMT)
280	EMT, Paramedic
281	Other Emergency Medical Services Provider - Not Classified, Specify
300	Clinical Social Worker
350	Podiatrist
370	Clinical Psychologist [last use 9/9/02]
371	Psychologist [available 9/9/02]
372	School Psychologist [available 9/9/02]
373	Psychological Asst., Assoc., Examiner [available 9/9/02]
374	Other Psychologist/Psychological Assistant Occupation - Not Classified, Specify [available 11/17/2014]
400	Audiologist
402	Art/Recreation Therapist
405	Massage Therapist
410	Occupational Therapist
420	Occup. Therapy Assistant
430	Physical Therapist
440	Phys. Therapy Assistant
450	Rehabilitation Therapist
460	Speech/Language Pathologist
470	Hearing Aid/Instrument Specialist [available 10/17/05]
471	Other Speech, Language and Hearing Service Occupation - Not Classified, Specify [available 11/17/2014]
500	Medical Technologist [changed to 501(6/15/09)]
501	Medical or Clinical Lab Technician/Technologist [available 6/15/09]
502	Medical/Clinical Lab Technician [available 6/15/09]
503	Surgical Technologist/Assistant [available 6/15/09]
504	Surgical Assistant [available 6/15/09]
505	Cytotechnologist [available 11/22/99]
510	Nuclear Med. Technologist
520	Rad. Therapy Technologist
530	Radiologic Technician/Technologist
540	X-Ray Technician or Operator [available 6/15/09]
550	Limited X-Ray Machine Operator [available 11/8/2010]
551	Other Technologist/Technician - Not Classified, Specify [available 11/17/2014]
600	Acupuncturist
601	Athletic Trainer [available 11/22/99]
603	Chiropractor
604	Chiropractic Assistant [available 11/17/2014]
605	Other Chiropractic Occupation - Not Classified, Specify [available 11/17/2014]
606	Dental Assistant
607	Dental Therapist/Dental Health Aide [available 6/15/09]
609	Dental Hygienist
612	Denturist
613	Other Dental Occupation - Not Classified, Specify [available 11/17/2014]
615	Homeopath
618	Medical Assistant
621	Counselor, Mental Health
624	Midwife, Lay (Non-Nurse)
627	Naturopath
630	Ocularist
633	Optician
636	Optometrist
637	Other Eye and Vision Service Occupation - Not Classified, Specify [available 11/17/2014]
639	Orthotics/Prosthetics Fitter
642	Physician Assistant
645	Phys. Asst., Osteopathic
647	Perfusionist [available 11/22/99]
648	Podiatric Assistant
649	Other Podiatric Service Occupation - Not Classified, Specify [available 11/17/2014]
651	Prof. Counselor
652	Sex Offender Counselor [available 11/17/2014]
653	Pastoral Counselor [available 11/17/2014]
654	Prof. Cnslr., Alcohol
657	Prof. Cnslr., Family/Marriage
658	Other Rehabilitative, Respiratory and Restorative Service Occupation - Not Classified, Specify [available 11/17/2014]
660	Addictions Counselor
661	Marriage and Family Therapist [available 9/9/02]
662	Art Therapist [available 11/17/2014]
663	Respiratory Therapist
664	Recreation Therapist [available 11/17/2014]
665	Dance Therapist [available 11/17/2014]
666	Resp. Therapy Technician
667	Music Therapist [available 11/17/2014]
668	Other Behavioral Health Occupation - Not Classified, Specify [available 11/17/2014]
699	Other Health Care Pract, Not Classified [available 11/22/99]
752	Adult Care Facility Administrator [available 11/22/99]
755	Hospital Administrator [available 11/22/99]
758	Health Care Facility Administrator [available 6/15/09]
759	Assisted Living Facility Administrator [available 6/15/09]
800	Researcher, Clinical [available 11/22/99]
810	Insurance Agent/Broker [available 11/22/99]
812	Insurance Broker [available 11/22/99]
820	Corporate Officer [available 11/22/99]
822	Business Manager [available 11/22/99]
830	Business Owner [available 11/22/99]
840	Salesperson [available 11/22/99]
850	Accountant [available 11/22/99]
853	Bookkeeper [available 11/22/99]
899	Other Individual, Not Classified [available 11/22/99]
998	Subject of Report Not Reportable (missing value)
999	Unspecified or Unknown
1301	General/Acute Care Hospital
1302	Psychiatric Hospital
1303	Rehabilitation Hospital
1304	Federal Hospital
1307	Psychiatric Unit
1308	Rehabilitation Unit
1310	Laboratory/CLIA Laboratory
1320	Health Insurance Company/Provider
1331	Health Maintenance Organization
1335	Preferred Provider Organization
1336	Provider Sponsored Organization
1338	Religious, Fraternal Benefit Society Plan
1342	Blood Bank
1343	Durable Medical Equipment Supplier
1344	Eyewear Equipment Supplier
1345	Pharmacy
1346	Pharmaceutical Manufacturer
1347	Biological Products Manufacturer
1348	Organ Procurement Organization
1349	Portable X-Ray Supplier
1351	Fiscal/Billing/Management Agent
1352	Purchasing Service
1353	Nursing/Health Care Staffing Service
1361	Chiropractic Group/Practice
1362	Dental Group/Practice
1363	Optician/Optometric Group/Practice
1364	Podiatric Group/Practice
1365	Medical Group/Practice
1366	Mental Health/Substance Abuse Group/Facility
1367	Physical/Occupational Therapy Group/Practice
1370	Research Center/Facility
1381	Adult Day Care Facility
1382	Hospice/Hospice Care Provider
1383	Intermed. Care Fclty For Intellectually Disabled/Substance Abuse
1386	Residential Treatment Facility/Program
1388	Outpatient Rehab. Fclty./Comprehensive Outptnt. Rehab. Fclty
1389	Nursing Facility/Skilled Nursing Facility
1390	Ambulance Service/Transportation Company
1391	Ambulatory Surgical Center
1392	Ambulatory Clinic/Center
1393	Home Health Agency/Organization
1394	Health Cntr/Fedrlly. Qualified Hlth Cntr./Cmmnty Hlth Cntr.
1395	Mental Health Center/Community Mental Health Center
1396	Rural Health Clinic
1397	Mammography Service Provider
1398	End Stage Renal Disease Facility
1399	Radiology/Imaging Center
1999	Other Type not classified - specify
9999	Org. Type not specified

* LICNFELD Codes with Major Text Changes - Listed is the value from the previous versions.

Value	Label	Date of First Use	Date of Last Use
758	Long-Term Care Administrator	N/A	06/15/2009

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PRACTAGE

Practitioner's Age Group. (Based on the age of the practitioner at the time of the event leading to the report.)

Value	Label
10	Ages 19 and under
20	Ages 20 through 29
30	Ages 30 through 39
40	Ages 40 through 49
50	Ages 50 through 59
60	Ages 60 through 69
70	Ages 70 through 79
80	Ages 80 through 89
90	Ages 90 through 99

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GRAD

Practitioner's Professional School Graduation Year Group

Value	Label
1900	1900 through 1909
1910	1910 through 1919
1920	1920 through 1929
1930	1930 through 1939
1940	1940 through 1949
1950	1950 through 1959
1960	1960 through 1969
1970	1970 through 1979
1980	1980 through 1989
1990	1990 through 1999
2000	2000 through 2009
2010	2010 through 2019

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ALGNNATR

Malpractice Allegation Group. This variable was first used in reports on 1/31/2004. For records with a RECTYPE value of "M", the value shown has been translated into the new Malpractice Payment Report codes from the act or omission codes used in old format reports. [This field is blank in Adverse Action records.]

Important Note: When analyzing physician malpractice payments, ALGNNATR should not be used as a substitute for physician specialty. For example, surgery codes may be used to report payments for physicians who are not surgeons, and obstetrics codes may be used to report payments for physicians who are not OB/GYNs, etc. The NPDB does not collect information on practitioner specialty in malpractice payment reports. No information on practitioner specialty is available for analysis.

Value	Label
1	Diagnosis Related
10	Anesthesia Related
20	Surgery Related
30	Medication Related
40	IV & Blood Products Related
50	Obstetrics Related
60	Treatment Related
70	Monitoring Related
80	Equipment/Product Related
90	Other Miscellaneous
100	Behavioral Health Related

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ALEGATN1

First Specific Malpractice Act or Omission Code. (Malpractice Payment reports allow for two "reason" codes for each case. This variable is the first listed code.) This variable was first used in reports on 1/31/2004. For records with a RECTYPE value of "M", the value shown has been translated into the new Malpractice Payment Report codes from the codes used in old format reports. [This field is blank in Adverse Action records.]

Value	Label
100	Failure to Use Aseptic Technique
101	Failure to Diagnose
102	Failure to Delay a Case When Indicated
103	Failure to Identify Fetal Distress
104	Failure to Treat Fetal Distress
105	Failure to Medicate
106	Failure to Monitor
107	Failure to Order Appropriate Medication
108	Failure to Order Appropriate Test
109	Failure to Perform Preoperative Evaluation
110	Failure to Perform Procedure
111	Failure to Perform Resuscitation
112	Failure to Recognize a Complication
113	Failure to Treat
200	Delay in Diagnosis
201	Delay in Performance
202	Delay in Treatment
203	Delay in Treatment of Identified Fetal Distress
300	Administration of Blood or Fluids Problem
301	Agent Use or Selection Error
302	Complementary or Alternative Medication Problem
303	Equipment Utilization Problem
304	Improper Choice of Delivery Method
305	Improper Management
306	Improper Performance
307	Improperly Performed C-Section
308	Improperly Performed Vaginal Delivery
309	Improperly Performed Resuscitation
310	Improperly Performed Test
311	Improper Technique
312	Intubation Problem
313	Laboratory Error
314	Pathology Error
315	Medication Administered via Wrong Route
316	Patient History, Exam, or Workup Problem
317	Problems With Patient Monitoring in Recovery
318	Patient Monitoring Problem
319	Patient Positioning Problem
320	Problem with Appliance, Prostheses, Orthotic, Device, etc.
321	Radiology or Imaging Error
322	Surgical or Other Foreign Body Retained
323	Wrong or Misdiagnosis (e.g. Original Diagnosis is Incorrect)
324	Wrong Dosage Administered
325	Wrong Dosage Dispensed
326	Wrong Dosage Ordered of Correct Medication
327	Wrong Medication Administered
328	Wrong Medication Dispensed
329	Wrong Medication Ordered
330	Wrong Body Part
331	Wrong Blood Type
332	Wrong Equipment
333	Wrong Patient
334	Wrong Procedure or Treatment
400	Contraindicated Procedure
401	Surgical or Procedural Clearance Contraindicated
402	Unnecessary Procedure
403	Unnecessary Test
404	Unnecessary Treatment
500	Communication Problem Between Practitioners
501	Failure to Instruct or Communicate with Patient or Family
502	Failure to Report on Patient Condition
503	Failure to Respond to Patient
504	Failure to Supervise
505	Improper Supervision
600	Failure/Delay in Admission to Hospital or Institution
601	Failure/Delay in Referral or Consultation
602	Premature Discharge from Institution
603	Altered, Misplaced or Prematurely Destroyed Records
700	Abandonment
701	Assault and Battery
702	Breach of Contract or Warranty
703	Breach of Patient Confidentiality
704	Equipment Malfunction
705	Failure to Conform with Regulation, Statute, or Rule
706	Failure to Ensure Patient Safety
707	Failure to Obtain Consent or Lack of Informed Consent
708	Failure to Protect a Third Party (Failure to Warn, etc.)
709	Failure to Test Equipment
710	False Imprisonment
711	Improper Conduct
712	Inadequate Utilization Review
713	Negligent Credentialing
714	Practitioner with Communicable Disease
715	Product Liability
716	Religious Issues
717	Sexual Misconduct
718	Third Party Claimant
719	Vicarious Liability
720	Wrongful Life/Birth
899	Cannot Be Determined from Available Records
999	Allegation - Not Otherwise Classified, Specify

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ALEGATN2

Second Specific Malpractice Act or Omission Code (Malpractice Payment reports allow for two "reason" codes for each case. This variable is the second listed code.) This variable was first used in reports on 1/31/2004. For records with a RECTYPE value of "M", the value shown has been translated into the new Malpractice Payment Report codes from the codes used in old format reports. [This field is blank in Adverse Action records and Malpractice Payment records in which a second Allegation code was not supplied.]

Value	Label
(Same as ALEGATN1)

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OUTCOME

Severity of Alleged Malpractice Injury. This variable was first used in reports on 1/31/2004. [This field is blank in Adverse Action records and type "M" Malpractice Payment records.]

Value	Label
1	Emotional Injury Only
2	Insignificant Injury
3	Minor Temporary Injury
4	Major Temporary Injury
5	Minor Permanent Injury
6	Significant Permanent Injury
7	Major Permanent Injury
8	Quadriplegic, Brain Damage, Lifelong Care
9	Death
10	Cannot Be Determined from Available Records

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MALYEAR1

Year of Act or Omission 1. (Beginning year of acts or omissions)

Note: Erroneous years (e.g., 3999) were recorded exactly as they were reported by the reporting entity and must be corrected by the same. The process to correct erroneous years is currently underway.(This field is blank in Adverse Action records.)

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MALYEAR2

Year of Act or Omission 2. (End year of acts or omissions)

Note: Erroneous years (e.g., 3999) were recorded exactly as they were reported by the reporting entity and must be corrected by the same. The process to correct erroneous years is currently underway. (This field is blank in Adverse Action records and Malpractice Payment records for which a second date was not supplied.)

May be blank if same as MALYEAR1

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PAYMENT

Amount of Reported Payment. This is the amount of the specific payment that led to the filing of this malpractice payment report. Payment amounts are coded into ranges. All payments of $100 or less are coded as $50. Payments from $101 to $500 are coded as $300. Payments from $501 to $1,000 are coded as $750. Payments between $1,001 and $5,000 are coded as the midpoint of $1,000 increments, e.g. payments between $1,001 and $2,000 are coded as $1,500; payments between $2,001 and $3,000 are coded as $2,500; etc. Payments between $5,001 and $100,000 are coded as the midpoint of $5,000 increments, e.g., payments between $30,001 and $35,000 are coded as $32,500, etc. Payments between $100,001 and $1,000,000 are coded as the midpoint of $10,000 increments. Payments between $1,000,001 and $10,000,000 are coded as the midpoint of $100,000 increments. Payments between $10,000,001 and $20,000,000 are coded as the midpoint of $1,000,000 increments. Payments between $20,000,001 and $50,000,000 are coded as the midpoint of $5,000,000 increments. Payments between $50,000,000 and $100,000,000 are coded as the midpoint of $10,000,000 increments. Any payment of $100,000,001 or more is coded as $105,000,000. The grouping of payment amounts has the effect of slightly lowering the apparent mean and median payment amounts.

For example, in the edition of the Public Use File created with data through June 30, 2021 the mean payment amount was $240,896 and the median was $97,500. The actual mean of the data that served as the basis for that edition of the file was $243,753 and the actual median was $100,000. When calculated for individual years or states, the means and medians in this file could vary slightly above or below the actual means or medians. We expect that similar relatively small differences exist for all editions of the file. Users needing exact means, medians, or other statistics may contact the Division of Practitioner Data Bank, which will provide the needed statistics if its workload permits. The exact payment amount for individual records will not be provided. [This field is blank in Adverse Action records]

These amounts have not been adjusted for inflation. Users interested in adjusting for inflation may find additional information at the U.S. Department of Labor's Bureau of Labor Statistics (BLS) website. The BLS compiles the Consumer Price Indexes. We recommend using the "Consumer Price Index for All Urban Consumers (CPI-U) for the U.S. City Average for All Items, 1982-84=100" for inflation adjustment of malpractice payment amounts. The BLS also publishes CPI numbers specifically for medical care (prescription drugs and medical supplies, physicians' services, eyeglasses and eye care, hospital services, etc.); however, we recommend use of the broader CPI-U since malpractice payment amounts are based on many factors in addition to the cost of medical care.

Format: DOLLAR12 (with embedded $ signs and commas; CSV format omits commas)

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TOTALPMT

Total Payment by this Payer for This Practitioner. In most cases this will equal PAYMENT; however, if the reporting entity has made or will make other payments to this plaintiff for this practitioner in this case, this variable represents the total paid or to be paid. (Payment amounts are coded into ranges. All payments of $100 or less are coded as $50. Payments from $101 to $500 are coded as $300. Payments from $501 to $1,000 are coded as $750. Payments between $1,001 and $5,000 are coded as the midpoint of $1,000 increments, e.g. payments between $1,001 and $2,000 are coded as $1,500; payments between $2,001 and $3,000 are coded as $2,500; etc. Payments between $5,001 and $100,000 are coded as the midpoint of $5,000 increments, e.g., payments between $30,001 and $35,000 are coded as $32,500, etc. Payments between $100,001 and $1,000,000 are coded as the midpoint of $10,000 increments. Payments between $1,000,001 and $10,000,000 are coded as the midpoint of $100,000 increments. Payments between $10,000,001 and $20,000,000 are coded as the midpoint of $1,000,000 increments. Payments between $20,000,001 and $50,000,000 are coded as the midpoint of $5,000,000 increments. Payments between $50,000,000 and $100,000,000 are coded as the midpoint of $10,000,000 increments. This variable was first used in reports on 1/31/2004. [This field is blank in Adverse Action records and type "M" Malpractice Payment records.]

TOTALPMT values have not been adjusted for inflation. See the discussion of adjustment for inflation with the PAYMENT variable.

Format: DOLLAR12 (with embedded $ signs and commas; CSV format omits commas)

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PAYNUMBR

Single or Multiple Payment. (Malpractice settlements or judgments may be paid in one payment or in multiple payments. This variable specifies which is applicable to this record.) [This field is blank in Adverse Action records.]

Value	Label
S	Single Payment
M	Multiple Payments
U	Unknown

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NUMBPRSN

Number of Practitioners Included in the Payment (Payments may be made which pertain to the acts or omissions of a number of practitioners. A separate report must be filed for each named practitioner.) [This field is blank in Adverse Action records.]

Note to users concerning NUMBPRSN:

NUMBPRSN is an indicator of the total number of practitioners involved in a case. The PAYMENT and TOTALPMT fields should refer to the amounts paid or to be paid for this specific practitioner regardless of the number of other practitioners involved. Other reports should specify the amounts paid for other practitioners. Dividing PAYMENT or TOTALPMT by NUMBPRSN does not generate a meaningful result.

PAYTYPE

Payment a Result of Judgment or Settlement.

[This field is blank in Adverse Action records.]

Value	Label
B	Before Settlement (Applicable only to certain reports filed electronically in 1995 or later. See also "U" below. In other reports, it is impossible to distinguish from NPDB information situations in which a payment is made before a formal settlement from instances in which the reporting entity does not specify whether the payment is a result of a settlement or a judgment. Most such instances are believed to be payments before settlement rather than true "unknowns."
J	Judgment
O	Other
S	Settlement
U	Unknown or Before Settlement [See note with "B"]

Note to users concerning PAYTYPE:

We recommend that analysis of the PAYTYPE variable be done by considering all values except "J" to be settlements of one type or another.)

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PYRRLTNS

Relationship of Paying Entity to the Practitioner. [This field is blank in Adverse Action records.]

Value	Label
1	Insurance Company (Legacy report, RECTYPE = M, prior to 1/31/2004)
2	Guaranty Fund (Legacy report, RECTYPE = M, prior to 1/31/2004)
3	Self-insured Organization (Legacy report, RECTYPE = M, prior to 1/31/2004)
4	State Medical Malpractice Fund (Legacy report, RECTYPE = M, prior to 1/31/2004
E	Insurance Company - Excess Insurer (RECTYPE = P, 1/31/20004 and later)
G	Insurance Guaranty Fund (RECTYPE = P, 1/31/20004 and later)
M	State Medical Malpractice Payment Fund - Primary Insurer (RECTYPE = P, 1/31/2004 and later)
O	State Medical Malpractice Payment Fund - Secondary Payer (RECTYPE = P, 1/31/2004 and later)
P	Insurance Company - Primary Insurer (RECTYPE = P, 1/31/2004 and later)
S	Self-Insured Organization (RECTYPE = P, 1/31/2004 and later)

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PTAGE

Patient Age in Groups of Years. (Patient Age at the time of the incident which led to the payment. Fractional years are used only for patients less than one year old. Fetuses are coded as -1.) This variable was first used in reports on 1/31/2004. [This field is blank in Adverse Action records and type "M" Malpractice Payment records.]

Value	Label
-1	Fetus
0	Under 1 year
1	Age 1 through 9
10	Age 10 through 19
20	Age 20 through 29
30	Age 30 through 39
40	Age 40 through 49
50	Age 50 through 59
60	Age 60 through 69
70	Age 70 through 79
80	Age 80 through 89
90	Ages 90 through 99

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PTGENDER

Gender of Patient. This variable was first used in reports on 1/31/2004. [This field is blank in Adverse Action records and type "M" Malpractice Payment records.]

Value	Label
F	Female
M	Male
U	Unknown

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PTTYPE

Patient Type (Inpatient, Outpatient, Both). This variable was first used in reports on 1/31/2004. [This field is blank in Adverse Action records and type "M" Malpractice Payment records.]

Value	Label
B	Both
I	Inpatient
O	Outpatient
U	Unknown

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AAYEAR

Year of Adverse Action.

Note: Erroneous years (e.g., 1900) were recorded exactly as they were reported by the reporting entity and must be corrected by the reporting entity. The process to obtain corrections for erroneous years is currently underway.(This field is blank in Malpractice Payment records.)

AACLASS1

Adverse Action Classification 1. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999. For records with a RECTYPE value of "A", the value shown has been translated into the new Consolidated Adverse Action Report codes from the codes used in old format reports.

Value	Label
1110	Revocation of License (Individual)
1125	Probation of License (Individual)
1135	Suspension of License (Individual)
1138	Smry/Emrgcy Limitn/Rstctn on Lic (av 8-13-07)
1139	Sumry/Emergcy Suspension of Licn. (Phys. & Dent. Only)
1140	Reprimand or Censure (License)(Individual)
1144	Reprimand, Censure, Vol Srndr (Lic)(Indiv)(Lgcy Repts Only)
1145	Voluntary Surrender of License (Individual)
1146	Voluntary Limitation/Restriction on License(Ind)(av 8-13-07)
1147	Limitation or Restriction on License/ Practice (Individual)
1148	Denial of License (Renewal Only) (Individual)
1149	Denial of Initial License
1150	Vol Agrmt Refrn Pract/Susped Lic Pendg Complt Invtgn(Ind)(av 8/22/11)
1151	Cease and Desist(av 11-17-14)
1155	Failure to Apply for Renewal or Withdrawal of Renewal Application While Under Investigation (Ind)(av 04/04/19)
1172	Administrative Fine/Monetary Penalty (Licensure) (Individ.)(retired)
1173	Publicly Available Fine/Money Penalty (Licensure) (Indiv)
1179	Limitation or Restriction on Ability to Prescribe, Dispense, or Administer Medication or Sedation, Specify (av 06-24-21)
1189	Publicly Avail. Negative Action/Finding Specify
1199	Other Licensure Action (Not Classfied) Specify
1280	Licensure Restored or Reinstated (Complete)(Individual)
1282	License Restored or Reinstated (Conditional)(Individual)
1283	License Restored or Reinstated (Partial)(Ind)(av 6/15/09)
1285	License Reinstatement Denied (Individual)
1295	Reduction of Previous Licensure Action (Individual)
1296	Extension of Previous Licensure Action (Individual)
1297	Modification of Previous Licensure Actn (Ind)(av 6/15/09)
1310	Reovctn Multi-State Lic Priv (Indivil)(avail 8-13-07)
1325	Probatn of Multi-State Lic Pri (Indiv)(avail 8-13-07)
1335	Suspsn of Multi-State Lic Priv (Indiv)(avail 8-13-07)
1338	Sumry/Emgcy Lmtn/Rstrct Multi-St Lic Priv(Ind)(av 3/1/10)
1339	Sumry/Emgcy Suspsn Multi-St Lic Priv(Ind)(av 3/1/10)
1340	Reprmnd/Censure Multi-St Lic Priv (Ind)(av 8-13-07)
1345	Vol Surrender Multi-State Lic Priv (Ind)(av 8-13-07)
1346	Vol Lmtn/Restrct Multi-St Lic Priv (Indv)(av 8-13-07)
1347	Limit/Restrict Multi-State Lic Priv (Ind)(avail 8-13-07)
1348	Denial Renewal Multi-State Lic Priv (Ind)(av 8-13-07)
1349	Denial Initial Multi-State Lic Priv (Ind)(avail 8-13-07)
1351	Cease and Desist Multi-St Licensing Priv (Ind)(av 11/23/16)
1373	Pub Avail Fine/Mny Pnlty Multi-St Lic Prv(av 8-13-07)
1389	Pub Avl Neg Actn/Fndg Mlti-St Lic Priv,Spcfy(av 8-13-07)
1399	Other Action Multi-St Lic Priv Specify(avail 8-13-07)
1480	Multi-St Lic Priv Restord/Reinstatd, Complt (av 8-13-07)
1482	Multi-St Lic Priv Restord/Reinstatd, Condtn (av 8-13-07)
1483	Multi-St Lic Priv Restord/Reinstatd, Partial (av 6/15/09)
1485	Multi-St Lic Priv Rstoratn/Reinstmt Denied (av 8-13-07)
1495	Rdctn-Prev Multi-St Lic Priv Actn (Ind)(avail 8-13-07)
1496	Extensn-Prev Multi-St Lic Priv Action (Indv)(av 8-13-07)
1497	Modifictn of Prev Multi-St Lic Priv Actn (Ind)(av 6/15/09)
1500	Debarment from Federal Programs (Individual)
1505	Exclusion from Federal Health Care Program (Individual)
1507	Exclusion from a State Health Care Program (Individual)
1508	Excl. from Medicare, Medicaid & all Other Fed. Pgms. (Indiv)
1509	Exclusion from Medicare & State Health Care Prgrms (Indiv.)
1510	Govt Admin Termination of Medicare/ Fed. Prgm Partic (Indiv)
1512	Govt Admin Vol Termination Undr Invst, Mdcare/Othr Fed (Ind)
1513	Gov Admin Non Rnewl Mcare/Othr Prgm Ptcptn for Cause (Indiv)
1514	Modification of Previous Action (Exclusion)(Ind)(av 6/15/09)
1515	Reinstatement (Exclusion) (Individual)
1516	Reinstatement Denied (Exclusion) (Individual)
1517	Govt Admin Vol Srndr fr Medicaid/St Prgm Under Invst (Indiv)
1518	Govt Admin Nonrnwl Mcaid/Othr St Prgm Partic for Cause (Ind)
1520	Govt Admin Contract Termination (Individual) (retired 5/6/13)
1521	Govt Admin Contract Termination (Individual) (av 5/6/13)
1525	Govt Admin Denial of Initial Application (Ind)(av 6/15/09)
1530	Govt Admin Civil Money Penalty (Individual) (retired 5/6/13)
1531	Govt Admin Civil Money Penalty Imposed by a Federal or State Health Care Program (Ind) (av 5/6/13)
1532	Govt Admin Administrative Fine/Monetary Penalty (Indiv) (retired 5/6/13)
1533	Govt Admin Administrative Fine/Monetary Penalty Imposed by a Federal or State Health Care Program (Ind) (av 5/6/13)
1536	Govt Admin Administrative Fine/Monetary Penalty (Ind) (av 5/6/13)
1539	Govt Admin Civil Money Penalty (Individual) (av 5/6/13)
1550	Govt Admin Disqual of Clin Invstgtr from Recv Invest Prodcts (retired 5/6/13)
1551	Govt Admin Termination from Medicaid/Other State Prgm (Ind)
1552	Govt Admin Disqualification of Clinical Investigator From Receiving Investigational Products (Ind) (av 5/6/13)
1555	Govt Admin Disqual Based on St. Nurses Aide Reistry (Indiv)
1556	Govt Admin Negative Finding or Listing in a State Health Care Practitioner Registry (Ind) (av 5/6/13)
1560	Govt Admin Personnel Action--Employee Termination (Indiv) (retired 5/6/13)
1561	Govt Admin Personnel Action - Employee Termination (Ind) (av 5/6/13)
1562	Govt Admin Personnel Action--Employee Suspension (Indiv) (retired 5/6/13)
1563	Govt Admin Personnel Action - Employee Suspension (Ind) (av 5/6/13)
1565	Govt Admin Personnel Action--Not Classified (Individual) (retired 5/6/13)
1566	Govt Admin Personnel Action - Not Classified, Specify (Ind) (av 5/6/13)
1579	Govt Admin Other Action Imposed by Medicaid or Other State Health Care Program- Not Classified, Specify (Ind) (av 5/6/13)
1580	Govt Admin Reinstatement (Ind) (av 5/6/13)
1581	Govt Admin Reinstatement Denied (Ind) (av 5/6/13)
1582	Govt Admin Reduction of Previous Action (Ind) (av 5/6/13)
1583	Govt Admin Extension of Previous Action (Ind) (av 5/6/13)
1584	Govt Admin Modification of Previous Action (Ind) (av 5/6/13)
1588	Govt Admin Other Adjudicated Action or Decision - Not Classified, Specify (Ind) (av 5/6/13)
1589	Govt Admin Other Action--Not Classified (Individual) (retired 5/6/13)
1590	Govt Admin Reinstatement (Individual)
1592	Govt Admin Reinstatement Denied (Individual)
1595	Govt Admin Reduction of Previous Action (Individual)
1596	Govt Admin Extension of Previous Action (Individual)
1597	Govt Admin Modification of Previous Action (Ind)(av 6/15/09)
1598	Govt Admin Other Action Imposed by Medicare or Other Federal Health Care Program- Not Classified, Specify (Ind)(av 5/6/13)
1599	Govt Admin Other Certification Action - Not Classified, Specify (Ind)(av 5/6/13)
1610	Revocation of Clinical Privileges/Panel Membership(Indiv)
1615	Prof Review Emplmnt or Panel Mmbrshp Firing (av 6/15/09)
1630	Suspension of Clinical Privileges/Panel Membership(Indiv)
1632	Summary/Emergency Suspension of Clin Priv/PM(Indiv)
1634	Vol Lim,Restr/Rdct Clin Priv/Pan Mmb Invstgn (avail 8-13-07)
1635	Vol Surrender of Clin. Priv/Panel Memb. Under Investig (Ind)
1636	Voluntary Acceptance of Restrtns on Privlg (Indiv) (retired)
1637	Involuntary Resignation/Panel Membership (av 6/15/09)
1638	Vol Lv of Absence,While Undr/to Avoid Invtgtn(av 6/15/09)
1639	Smry/Emrgncy Limitn/Rstrctn/Reduction Clin Priv (Individ)
1640	Reduction of Clinical Privileges/Panel Membership (Individ)
1642	Limit/Restrict Procdures/Practce Area (av 6/15/09)
1643	Concurring Consult Required Before Procedures(av 6/15/09)
1644	Proctoring/Monitoring Required During Procedures(av 6/15/09)
1645	Other Restriction/Limitation of Clinical Privileges(Indiv)
1650	Denial of Clinical Privileges (Individual)
1655	Failure to Apply for Renewal or Withdrawal of Renewal Application While Under Investigation (av 6/15/09)
1656	Priv Expired While Under Investgtn (av 6/15/09)
1680	Clin. Priv. /Panel Memb Restored/Reinstated (Complete) (Ind)
1681	Clin Priv/Panel Memb Restored/Reinstated (Conditional) (Ind)
1682	Clin.Priv/Panel Memb Restored/Reinstated (Partial)(av 6/15/09)
1689	Clinical Privileges/Panel Mmbrshp Reinstatement Denied (Ind)
1690	Reduction of Previous Actn (Clin Priv/Panel Mmbrshp) (Ind)
1695	Extension of Previous Actn (Clin Priv/Panel Mmbrshp) (Ind)
1696	Modifictn of Previous Actn (Clin Priv/Panl Mmbrshp) (av 6/15/09)
1699	Reversal of Prev Clin Priv/PM Action, Appeal or Review (Ind) (retired)
1710	Revocation of Professional Society Membership (Individual)
1730	Suspension of Professional Society Membership (Individual)
1735	Disciplinry Probatn Affectg Membshp Rights or Priv (av 6/15/09)
1745	Other Restriction/Limitation on Prof. Soc. Membership (Ind)
1750	Denial of Professional Society Membership (Subsequent) (Ind)
1780	Professional Society Membership Reinstated (Complete) (Ind)
1781	Professional Society Mmbrshp Reinstated (Conditional) (Ind)
1789	Professional Society Membership Reinstatement Denied (Indiv)
1790	Reduction of Previous Action (Prof Soc Membership) (Indiv)
1795	Extension of Previous Action (Prof Society Membership) (Ind)
1796	Modificatn of Previous Actn (Prof Soc Mmbershp)(av 6/15/09)
1799	Reversal of Previous Prof Soc Action, Appeal or Review (Ind) (retired)
1820	Health Plan Contract Termination (Individual)
1920	Contract Termination (Individuals)
1930	Suspension of Health Plan Contract (Individual)
1931	Health Plan Contract Restriction(Ind)(av 6/15/09)
1932	Health Plan Administrative Fine/Monetary Penalty (Individ.)
1941	Health Plan Employment Termination (Individual)
1942	Health Plan Employment Suspension (Individual)
1950	Denial of Hlth Plan Contrct Applictn/Renew (Retired 6/15/09)
1951	Denial of Health Plan Initial Contract Applicatn (av 6/15/09)
1952	Denial of Health Plan Contract Renewal (ind) (av 6/15/09)
1989	Other Health Plan Action, Specify (Individual)
1990	Health Plan Reinstatement (Individual)
1992	Health Plan Reinstatement Denied (Individual)
1995	Health Plan Reduction of Previous Action (Individual)
1996	Health Plan Extension of Previous Action (Individual)
1997	Health Plan Modificatn of Previous Action (ind)(av 6/15/09)
3111	Revocation of License or Certificate (Organization)
3136	Suspension of License or Certificate (Organization)
3138	Reprimand or Censure (Licensure) (Org)
3141	Voluntary Surrender of License of Certificate (Organization)
3143	Conditional or Probationary License of Certificate (Org)
3144	Denial of License or Certificate (Renewal Only) (Org)
3145	Denial of Initial License or Certificate (Org)
3202	Directed Plan or Correction (Licen/Gov Admin) (Organization)
3203	On-Site Monitoring (Licen/Gov Admin) (Organization)
3204	Monitoring (Licensure) (Org)
3205	Directed In-Service Training (Licen/Gov Admn) (Organization)
3206	Appointment of Temporary Management (Licen/Gov Admin)(Org)
3207	Restrictions on Admissions or Services (Licen/Gov Adm) (Org)
3210	Closure of Facility (Licensure/Gov Admin) (Organization)
3212	Transfr Residnts to Othr Facil w/o Closure (Lic/GovAd) (Org)
3220	Receivership (Licensure) (Organization)
3225	Liquidation (Licensure) (Organization)
3230	Civil Money Penalty (Licensure/Gov Admin) (Organization)
3231	Civil Money Penalty Imposed by a Federal or State Health Care Program (Org) (av 5/6/13)
3232	Administrative Fine/Money Penalty (Gov Adm) (Org) (retired 5/6/13)
3233	Publicly Available Fine/Monetary Penalty (Licen) (Org)
3234	Gov Admin Administrative Fine/Monetary Penalty Imposed by a Federal or State Health Care Program (Org) (av 5/6/13)
3238	Summary/Emergency Action, Specify (Org.)
3239	Other Licensure Action, Not Classified (Organization)
3281	License or Certification Restored or Reinst. Complete (Org.)
3283	License or Cert. Restored or Reinstated, Conditional (Org)
3284	License Restored or Reinstated, Partial (Org) (av 6/15/09)
3286	License or Certification Restoration/Reinstatement Denied (Org.)
3295	Reduction of Previous Licensure Action (Organization)
3296	Lic. Extension of Previous Action (Org.)
3297	Modification of Previous Licensure Action (Org) (av 6/15/09)
3500	Debarment from Federal Programs (Organization)
3505	Exclusion from a Federal Health Care Program (Organization)
3507	Exclusion from a State Health Care Program (Organization)
3508	Exclusion from Mcare, Mcaid & All Othr Fed HC Programs (Org)
3509	Exclusion from Medicare and State Health Care Programs (Org)
3510	Gov Admin Termin of Mcare/Othr Fed Prgm Partic (Organiztion)
3512	Gov Admin Vol Termntn of Mcare/Prgm Partic Undr Invest (Org)
3513	Gov Admin Nonrenwl of Mcare/Othr Prgm Partic for Cause (Org)
3515	Reinstatement from Exclusion or Debarment (Organization)
3516	Reinstatement from Exclusion or Debarment Denied (Org)
3517	Gov Adm Vol Tmntn Mcaid/St Prgm Prtcpn Undr Invst/Disc (Org)
3518	Gov Admin Non-rnwl of Mcaid/St Prgm Partic for Cause (Org)
3519	Modification of Previous Action (Exclusion) (Org) (av 6/15/09)
3520	Gov Admin Contract Termination (Organization)
3521	Gov Admin Contract Termination (Org) (av 5/6/13)
3525	Gov Admin Denial of Initial Application (Org) (av 6/15/09)
3538	Gov Admin Administrative Fine/Monetary Penalty (Org) (av 5/6/13)
3539	Gov Admin Civil Money Penalty (Org) (av 5/6/13)
3540	Gov Admin Marketing Activities Suspended or Restricte (Org)
3542	Gov Admin Beneficiary Enrollment Suspended (Organization)
3551	Gov Admin Terminatn Mcaid/State Prgm Partic for Cause (Org)
3579	Gov Admin Other Action Imposed by Medicaid or Other State Health Care Program- Not Classified, Specify (Org) (av 5/6/13)
3580	Gov Admin Reinstatement (Org) (av 5/6/13)
3581	Gov Admin Reinstatement Denied (Org) (av 5/6/13)
3582	Gov Admin Reduction of Previous Action (Org) (av 5/6/13)
3583	Gov Admin Extension of Previous Action (Org) (av 5/6/13)
3584	Gov Admin Modification of Previous Action (Org) (av 5/6/13)
3588	Gov Admin Other Adjudicated Action or Decision Not Classified, Specify (Org) (av 5/6/13)
3589	Gov Admin Other Action, Not Classified (Organization) (retired 5/6/13)
3590	Gov Admin Reinstatment (Organization)
3592	Gov Admin Reinstatement Denied (Organization)
3595	Gov Admin Reduction of Previous Action (Organization)
3596	Gov Admin Extension of Previous Action (Organization)
3597	Gov Admin Modificatn of Previous Actn (Org) (av 6/15/09)
3598	Gov Admin Other Action Imposed by Medicare or Other Federal Health Care Program- Not Classified, Specify (Org) (av 5/6/13)
3599	Gov Admin Other Certification Action - Not Classified, Specify (Org) (av 5/6/13)
3850	Accreditation Award Revoked (Org.) (av 3/1/10)
3855	Non-Accreditation/Denial of Accreditation (Org.) (av 3/1/10)
3859	Other Private Accred. Actn (Not Classified) Specify (Org.)(av 3/1/10)
3860	Accreditation (Organization) (av 3/1/10)
3862	Accreditation Restored/Reinstated, Conditional (Org.)(av 3/1/10)
3864	Accreditation Restoration/Reinstatement Denied (Org.)(av 3/1/10)
3920	Health Plan Contract Termination (Organization)
3930	Health Plan Suspension of Contract (Organization)
3932	Administrative Fine/Monetary Penalty (Organization)
3950	Denial of Contrct Applictn/Renewal (Org) (Retired 6/15/09)
3951	Health Plan Denial of Initial Contract Applicatn (av 6/15/09)
3952	Health Plan Denial of Contract Renewal (Org)(av 6/15/09)
3989	Other Health Plan Action, Specify (Organization)
3990	Reinstatement (Organization)
3992	Reinstatement Denied (Organization)
3995	Reduction of Previous Action (Organization)
3996	Extension of Previous Action (Organization)
3997	Health Plan Modificatn of Previous Actn (Org)(av 6/15/09)

*AACLASS1 Codes with Major Text Changes - Listed is the value from the previous versions.

Value	Label	Date of First Use	Date of Last Use
1146	Reprimand, Censure, Voluntary Surrender of License (Individual)(Legacy Reports Only) [This is now code 1144]		8/13/2007
1173	Admin. Fine/Monetary Pnlty & Another Actn (Licensure) (Individual)		1/8/2002
1283	License Restored or Reinstated (Legacy Report)(Individual)	11/22/1999	6/15/2009

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AACLASS2

Adverse Action Classification 2. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.

Value	Label
(Same as AACLASS1)

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AACLASS3

Adverse Action Classification 3. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.

Value	Label
(Same as AACLASS1)

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AACLASS4

Adverse Action Classification 4. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.

Value	Label
(Same as AACLASS1)

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AACLASS5

Adverse Action Classification 5. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.

Value	Label
(Same as AACLASS1)

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BASISCD1

Basis for Action1. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999. For records with a RECTYPE value of "A" (old format Adverse Action Reports), the value shown has been translated into the new Consolidated Adverse Action Report BASISCD1 codes from the codes used in old format reports.

Value	Label	Date of First Use	Date of Last Use
0	Basis Code Not Required
01	Alcohol and/or Other Substance Abuse	11/22/1999	9/9/2002
03	Narcotics Violation	11/22/1999	9/9/2002
05	Fraud (Unspecified)	11/22/1999	12/16/2022
06	Insurance Fraud (Medicare and Other Federal Gov. Program)	11/22/1999	9/9/2002
07	Insurance Fraud (Medicaid or Other State Gov. Program)	11/22/1999	9/9/2002
08	Insurance Fraud (Non-Government or Private Insurance)	11/22/1999	9/9/2002
09	Fraud in Obtaining License or Credentials	11/22/1999	9/9/2002
10	Unprofessional Conduct	11/22/1999	6/15/2009
11	Incompetence	11/22/1999	12/16/2022
12	Malpractice	11/22/1999	12/16/2022
13	Negligence	11/22/1999
14	Patient Abuse	11/22/1999
15	Patient Neglect	11/22/1999	12/16/2022
16	Misappropriation of Patient Property or Other Property	11/22/1999
17	Inadequate or Improper Infection Control Practices	6/15/2009
18	Deferred Adjudication	6/15/2009
19	Criminal Conviction	11/22/1999
20	Mental Disorder	11/22/1999	9/9/2002
21	Failure to Repay Overpayment [available 1/25/2010]
22	Advertising or Marketing Services or Products That Are Discriminatory, Misleading, False, or Deceptive	11/22/1999	9/9/2002
23	Failure to Cooperate With Board Investigation	6/15/2009
24	Practicing With an Expired License	6/15/2009
25	Practicing Without a License	6/15/2009	12/16/2022
29	Practicing Beyond Scope of Practice	11/22/1999
30	Allowing Unlicensed Person to Practice	11/22/1999	9/9/2002
31	Failure to Comply With Health and Safety Requirements or State Health Code	11/22/1999
32	Lack of Appropriately Qualified Professionals	11/22/1999
34	Financial Insolvency
35	Drug Screening Violation	6/15/2009
36	Violation of Federal or State Tax Code	6/15/2009
37	Failure to Pay or Delinquent with Child Support [av 6/15/09]	6/15/2009
39	Disciplinary Action Taken by Another Federal, State or Local Licensing Authority	11/22/1999
40	Exclusion/Suspension from Fed or State HC Program	11/22/1999
41	Entities Owned/Controlled by Sanctioned Individual
42	Individuals Controlling Sanctioned Entities	11/22/1999
43	Employing/Contractng w. Individ. Excluded frm Fed/St HC Prgm
44	Default on Health Education Loan or Scholarship Obligations	11/22/1999
45 *	Failure to Maintain/Provide Records or Information	11/22/1999	12/16/2022
46	Failure to Grant Immediate Access	11/22/1999
47	Failure to Corrective Action
48	Failure to Obtain Surety Bond
49	Failure to Comply w. Composition of Enrollment Requirements
50	Failure to Maintain/Provide Adequate or Accurate Medical Records, Financial Records or Other Required Info [av 6/15/09]	6/15/2009
51	Failure to Perform Contractual Obligations
52*	Incompetence, Malpractice, Negligence (Legacy Format Reports)	11/22/1999
53	Failure to Provide Med Resnble or Nec. Items/Services	11/22/1999
54	Furnishing Unnecessary or Substandard Items/Services	11/22/1999
55	Improper Billing Practices	11/22/1999
56	Submitting False Claims	11/22/1999
57	Fraud, Kickbacks and Other Prohibited Activities	11/22/1999
58	Imposition of Civil Money Penalty or Assessment	11/22/1999
59	Peer Review Organization Recommendation	11/22/1999
60	Felony Conviction Related to Health Care Fraud	11/22/1999
61	Felony Conviction Re: Controlled Substance Violation	11/22/1999
62	Program-Related Conviction	11/22/1999
63	Conviction Re: Patient Abuse or Neglect	11/22/1999
64	Conviction Re: Fraud	11/22/1999
65	Conviction Re: Obstruction of an Investigation	11/22/1999
66	Conviction Re: Controlled Substances	11/22/1999
69	Criminal Conviction, Not Classified	11/22/1999
70	Violation of By-Laws, Protocols or Guidelines	6/15/2009
71	Conflict of Interest	11/22/1999
72	Corporate Integrity Agreement Breach
73	Settlement Agreement Breach
74	Violation of Federal or State Antitrust Statute
75	Violation of Drug-Free Workplace Act
76	Viol. of Immig. & Nationality Act Employment Provisions
77	Viol. of ADA or Applicable Federal or State Laws
78	Viol. of Civil Rights Act or Applicable Fed or State Laws
79	Violations of Code of Ethics	6/15/2009
80	Physical Impairment	11/22/1999	9/9/2002
81	Misrepresentation of Credentials	4/30/2001
82	Debarment from Federal or State Program
83	Hospital Privileges Restricted, Suspended, or Revoked
84	Violation of State Health Code		12/16/2022
91	Noncompl. w Priv. Accred. Standards
92	Noncompl w Prv Accrd stds posing risk to safety/quality care
99	Other (Not Classified)	11/22/1999
A1	Failure to Meet Licensure Requirements/Licensing Board Reporting Requirements	9/9/2002
A2	Failure to Comply with Continuing Education or Competency Rqmts	9/9/2002
A3	Failure to Meet Licensing Board Reporting Requirements	9/9/2002	12/16/2022
A4	Practicing Without a Valid License	9/9/2002
A5	Violation of or Failure to Comply with Licensing Board Order	9/9/2002
A6	Violation of Federal or State Statutes, Regulations or Rules	9/9/2002
A7	Surrendered License to Practice	9/9/2002
A8 *	Clinical Priv. Restricted, Suspended or Revoked by Another Hospital or Health Care Facility	9/9/2002
A9	Fail to Meet/Comply w Contract Oblgtns or Particptn Rqrmnts
AA	Failure to Comply with Corrective Action Plan	9/9/2002
AB	Practicing Beyond the Scope of Privileges	9/9/2002
AC	Failure to Maintain Equipment/Missing or Inadequate Equipment	9/9/2002
AD	Surrendered Clinical Privileges	9/9/2002
AE	Operatg w/o a License/Permits/on a Lapsed License [av 6/15/09]
AF	Operating beyond scope of license (av 6/15/09)
AG	Failure to Maintn Supplies/Missg or Inadequt Suppls [av 6/15/09]
AH	Failure to Comply with Terms of Probation or other Previously Imposed Requirements	6/15/2009
B1	Nolo Contendre Plea	9/9/2002
C1	Failure to Obtain Informed Consent	9/9/2002
C2	Failure to Comply with Patient Consultation Requirements	9/9/2002
C3	Breach of Confidentiality	9/9/2002
D1	Sexual Misconduct	9/9/2002
D2	Non-Sexual Boundary Violation	9/9/2002
D3	Exploiting a Patient for Financial Gain	9/9/2002
D4	Abusive Conduct Toward Staff	6/15/2009
D5	Disruptive Conduct	6/15/2009
D6	Conduct Evidencing Moral Unfitness	6/15/2009	12/16/2022
D7	Conduct Evidencing Ethical or Moral Unfitness [available 6/15/09]	6/15/2009
D8	Other Unprofessional Conduct, Specify	6/15/2009	12/16/2022
E1	Insurance Fraud (Medicare, Medicaid or Other Insurance)	9/9/2002
E2	Providing or Ordering Unnecessary Tests or Services	9/9/2002
E3	Filing False Reports or Falsifying Records	9/9/2002
E4	Fraud, Deceit or Material Omission in Obtaining License or Credentials	9/9/2002
E5	Misleading, False or Deceptive Advertising or Marketing	9/9/2002
E6	Failure to Disclose	6/15/2009
F1	Immediate Threat to Public	9/9/2002
F2	Unable to Practice Safely by Reason of Substance Use	9/9/2002
F3	Unable to Practice Safely by Reason of Psychological Impairment	9/9/2002
F4	Unable to Practice Safely by Reason of Physical Impairment	9/9/2002
F5	Unable to Practice Safely	9/9/2002	12/16/2022
F6	Substandard Care or Inadequate Skill Level	9/9/2002
F7	Substandard or Inadequate Skill Level	9/9/2002	12/16/2022
F8	Failure to Consult or Delay in Seeking Consultation w Supervisor/Proctor	9/9/2002
F9	Patient Abandonment	9/9/2002
FA	Inappropriate Refusal to Treat	9/9/2002
FB	Excessive Malpractice Cases / Extensive Malpractice History
FC	Negligent Credentialing
FE	Incorrect Site Procedure	12/16/2022
FF	Foreign Body Retained Inappropriately in a Patient	12/16/2022
FG	Wrong Patient	12/16/2022
G1	Improper or Inadequate Supervision or Delegation	9/9/2002
G2	Allowing or Aiding Unlicensed Practice	9/9/2002
H1	Drug Violation or Other Violation of Drug Statutes	9/9/2002
H2	Inappropriate or Unauthorized Prescribing of Medication	9/9/2002
H3	Inappropriate or Unauthorized Dispensing of Medication	9/9/2002
H4	Inappropriate or Unauthorized Administration of Medication or Sedation	9/9/2002
H5	Error in Prescribing, Dispensing or Administering Medication or Sedation	9/9/2002
H6	Inappropriate Acquisition or Diversion of Controlled Substance	9/9/2002
H7	Inadequate security for controlled substances (org) [avail 6/15/09]	6/15/2009
H8	Expired drugs in inventory (Org) (av 6/15/09)
H9	Misbrand Drug Labels/Lack Reqrd Labelg Drugs (Org) [av 6/15/09]
I1	Diverted Conviction [av 6/6/11]

* The table below lists BASISCD1 codes with Major Text Changes - the value from previous versions is shown.

Value	Label	Date of First Use	Date of Last Use
45	Failure to Maintain/Provide Records		11/21/1999
A8	Clinical Privileges Restricted, Suspended or Revoked by Another Health Care Facility		09/08/2002
52	Failure to Repay Overpayment	06/15/2009	01/24/2010

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BASISCD2

Basis for Action2. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.

Value	Label
(SAME AS BASISCD1)

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BASISCD3

Basis for Action3. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.

Value	Label
(SAME AS BASISCD1)

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BASISCD4

Basis for Action4. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 11/22/1999.

Value	Label
(SAME AS BASISCD1)

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BASISCD5

Basis for Action5. [This field is blank in Malpractice Payment records.] This variable was first used in reports on 9/2/2002; between 11/22/1999 and 9/2/2002 only four basis codes were allowed.

Value	Label
(SAME AS BASISCD1)

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AALENTYP

Adverse Action Length Type. [This field is blank in Malpractice Payment records.]

Value	Label
I	Indefinite Penalty Length
P	Permanent Penalty
S	Specified Penalty Length

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AALENGTH

For specified penalty lengths, Length of Adverse Action Penalty, in Years and Fractions of Years (i.e., 2.25 is 2 years 3 months). [This field is blank in Malpractice Payment, Old Format Exclusion, and Adverse Action Records which do not have a specified penalty length.]

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AAEFYEAR

Effective Year of Adverse Action

Note: Erroneous years (e.g., 1900) were recorded exactly as they were reported by the reporting entity and must be corrected by the same. The process to correct erroneous years is currently underway. (This field is blank in Malpractice Payment records.)

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AASIGYR

Year of Adverse Action Report Signature.

Note: Erroneous years (e.g., 1900) were recorded exactly as they were reported by the reporting entity and must be corrected by the same. The process to correct erroneous years is currently underway.] [This field is blank in Malpractice Payment records.]

TYPE

Type of Reporting Entity.

Value	Label
0	Self Query Processing (Legacy)
10	Non-Fed. Malp. Payor (Legacy)
11	State Nursing Board (Legacy)
12	State Pharmacist Board (Legacy)
13	Federal Malp. Payor (Legacy)
14	State Chiropractor Board (Legacy)
15	Indiv. Malp. Payor (Legacy)
16	Malpractice Payer (Organization) (Legacy)
17*	State Fund (Legacy)
18	State Optometry Board (Legacy)
19	State Podiatry Board (Legacy)
20	State Allopathic Board (Legacy)
21	Other Malpractice Payer, specify (Legacy)
22	State Osteopathic Board (Legacy)
23	Insurance Commission (Legacy)
24	State Composite Board (Legacy)
25	State Board - Other Practitioners (Legacy)
26	State Dentistry Board (Legacy)
27	Survey and Certification Agency (Legacy)
28	Other Licensing Agency Specify (Legacy)
29	State Board - Entity Licensing (Legacy)
30	Hospital (non-U.S. Government) (Legacy)
31	U.S. Government Hospital (Legacy)
32	Community Health Center (Legacy)
33	Health Maintenance Organization (Legacy)
34	Employer Health Care Purchasing Coalition or Group (Legacy)
35	Preferred Provider Organization (Legacy)
36	Group Medical Practice (Legacy)
37	End Stage Renal Disease Facility (Legacy)
38	Other U.S. Government Health Care Entity (Legacy)
39	Other Entity (non-U.S. Government) (Legacy)
40	Allopathic Professional Society (Legacy)
41	Health Insurance Company (Legacy)
42	Special Investigative Unit (Ins. Co./Health Plan) (Legacy)
43	Osteopathic Professional Society (Legacy)
44	Hospital (Legacy)
45	Home Health Agency/Organization (Legacy)
46	Dental Professional Society (Legacy)
47	Hospice / Hospice Care Provider (Legacy)
48	Managed Care Organization (MCO, PPO, HMO) (Legacy)
49	Professional Society - Other Practitioners (Legacy)
51	Mental Health Center / CMHC (Legacy)
52	Malpractice Litigant (Self) (Legacy)
53	Nursing Facility / Skilled Nursing Facility (Legacy)
54	Org. under Contract with Gov. Health Care Program (Legacy)
55	Residential Treatment Facility / Program (Legacy)
56	Medicare Program - CMS (Legacy)
57	State Medicaid Agency (Legacy)
58	Other Govt. Program Paying for Health Care Services (Legacy)
59	Indemnity Insurance Company (Legacy)
60	Self-Insured Employer Health Plan (Legacy)
61	Medicare Part A Contractor (Legacy)
62	Medicare Part B Contractor (Legacy)
63	Champus Contractor (Legacy)
64	Medicare Contractor - FI, Enrollment or Program Integrity (Legacy)
66	Other Health Care Service Provider, Specify (Legacy)
67	Other Health Plan, Specify (Legacy)
70	Accreditation Organization (Legacy)
71	State Agency (Legacy)
72	Medicaid Fraud Control Unit (Legacy)
73	State Agency Admin. State Health Care Programs (Legacy)
74	State Prosecutor or States Attorney (Legacy)
75	District Attorney/County Prosecutor, etc. (Legacy)
76	State Police/Bureau of Investigation (Legacy)
77	Health Care Investigative Unit or Task Force (Legacy)
78	Local/Municipal Police (Legacy)
79	Other Law Enforcement Agency, Specify (Legacy)
81	U.S. Attorney General (Legacy)
82	U.S. Chief Postal Inspector (Legacy)
83	U.S. Inspectors General (Legacy)
84	U.S. Attorneys (Legacy)
85	U.S. Comptroller General (Legacy)
86	U.S. Drug Enforcement Administration (Legacy)
87	U.S. Nuclear Regulatory Commission (Legacy)
88	Federal Bureau of Investigation (Legacy)
90	Federal Prosecutor or US Attorney (Legacy)
91	State Attorneys General (Legacy)
92	Peer Review Organization Non-CMS (Legacy)
93	Secretary, U.S. DHHS (Legacy)
94	Quality Improvement Organization under CMS Contract (Legacy)
95	HHS OIG Exclusion (Legacy)
96	Federal Agency Admin. Health Care Program(s) (Legacy)
97	Private Accreditation Organization (Legacy)
98	Correctional Institution (Legacy)
99	Authorized Agent (Legacy)
100	General/Acute Care Hospital
101	Children Hospital
102	Psychiatric Hospital
103	Rehabilitation Hospital
104	Long Term Care Hospital
105	Specialty Hospital
106	Critical Access Hospital
109	Other Hospital, Specify
110	Hospital in a Correctional Institution
120	Ambulatory Surgical Center
121	Ambulatory Clinic/Center
122	Health Center - All or Federally Qualified or Community
123	Student Health Services
125	Group Medical Practice
130	Mental Health Center/CMHC
135	End Stage Renal Disease Facility
140	Nursing/Skilled Nursing Facility
143	Assisted Living Facility
145	Hospice/Hospice Care Provider
150	Residential Treatment Facility/Program
160	Home Health Agency/Organization
169	Other Health Care Service Provider, Specify
170	Other Health Care Provider in a Correctional Facility
200	Employer Health Care Purchasing Coalition/Group
210	Managed Care Organization (MCO)
211	Preferred Provider Organization (PPO)
212	Health Maintenance Organization (HMO)
213	Point of Service Plan (POS)
220	Independent Practice Association (IPA)
221	Physician-Hospital Organization (PHO)
222	Third-Party Administrator (TPA)
223	Vision Services Plan
224	Dental Services Plan
225	Managed Behavioral Health Care Org.(MBHO)
230	Indemnity Health Insurance Company
231	Health Insurance Company
232	Special Investigative Unit (SIU)
240	Self-Insured Employer Health Plan
241	Managed Services Organization (MSO)
242	Delegated Credentialing Services Provider
259	Other Health Plan, Specify
300	Health Care Practitioner Licensing Board/Authority
320	Health Care Facility Licensing Board/Authority
330	Insurance Commission
349	Other Licensing Board/Authority, Specify
350	Survey and Certification Agency
400	Allopathic Professional Society
401	Dental Professional Society
402	Osteopathic Professional Society
409	Professional Society - Other Practitioners, Specify
500	Malpractice Payer (Organization)
510	State Insur. Guarty/Guar. Fund or Insolvt Insurer Fund
511	State Gov. Patient Compensatn, Excess Judgmt or Stablzatn Fund
515	Self-Insured Entity (not eligible to register in other category)
519	Other Malpractice Payer, Specify
600	Federal Prosecutor or US Attorney
601	Fed. Inspector General Office/Investigative Agency
606	State Prosecutor or States Attorney
607	State Police/Bureau of Investigation
608	Medicaid Fraud Control Unit
610	Local Prosecutor/District Attorney
611	Local/Municipal Police
622	Correctional Institution
629	Other Law Enforcement Agency, Specify
650	Medicare Program - CMS
660	Medicaid Agency
679	Other Govt. Program Paying for Health Care Services
689	Org. Under Contract w/ Govt. Health Care Program
700	Peer Review Org. Under Contract w/ CMS
710	Peer Review Org. Not Under Contract w/ CMS
800	Private Accreditation Organization

*The table below shows a TYPE code with a major text change - the text shown was previously used.

Value	Label
17	State Fund

The following eleven variables are not contained in NPDB reports but instead are calculated at the time the public use file is created. The values of the "NPxxxRPT" variables and ACCRRPTS variable will be the same in all reports for a given practitioner (i.e., all records with the same PRACTNUM value). The FUNDPYMT variable will have a value shown only for malpractice payment records.

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PRACTNUM

Practitioner Number. (This number is assigned solely to each individual practitioner listed in this edition of the NPDB Public Use Data File. Its use allows researchers to link reports concerning the same practitioner. For example, if the fictional Dr. James Kildare had been reported for a malpractice payment, a clinical privileges action, and a state licensure action, the records for all three reports would list the same PRACTNUM in this file. PRACTNUM values are assigned during the creation of this file and are unique to this file. PRAACTNUM is not used by the National Practitioner Data Bank in any way. It is neither linked to nor derived from any practitioner identification numbers used by the National Practitioner Data Bank. Note also that although all records of a given practitioner will have the same PRACTNUM in this edition of the Public Use Data File, that same practitioner may have a different PRACTNUM in other editions of the Public Use Data Files prepared on different dates.)

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ACCRRPTS

Subject's Number of Accreditation Reports.

Caution: This variable counts the number of accreditation actions for the subjects in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the subject's number of accreditation action reports in your selected subset. For example, if subject number 1545 has three accreditation action reports, two for Kansas accreditation actions and one for a Missouri accreditation action, a researcher who selected only Missouri accreditation action for analysis would have only one record for subject number 1545 in his or her Missouri data file, but that record would say the subject has three accreditation action reports, not one.

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NPMALRPT

Subject's Number of Malpractice Payment Reports submitted under Title IV.

Caution: This variable counts the number of malpractice payments for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner's number of payment reports in your selected subset. For example, if practitioner number 1545 has three malpractice payment reports, two for Kansas payments and one for a Missouri payment, a researcher who selected only Missouri malpractice payments for analysis would have only one record for practitioner number 1545 in his or her Missouri data file, but that record would say the practitioner has three malpractice payment reports, not one.

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NPLICRPT

Subject's Number of Licensure Reports submitted under Title IV and/or Section 1921.

Caution: This variable counts the number of licensure actions for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner's number of licensure action reports in your selected subset. For example, if practitioner number 1545 has three licensure action reports, two for Kansas licensure actions and one for a Missouri licensure action, a researcher who selected only Missouri licensure actions for analysis would have only one record for practitioner number 1545 in his or her Missouri data file, but that record would say the practitioner has three licensure action reports, not one.

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NPCLPRPT

Subject's Number of Clinical Privileges or Panel Member Reports submitted under Title IV.

Caution: This variable counts the number of clinical privileges or panel membership actions for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner's number of clinical privileges or panel membership action reports in your selected subset. For example, if practitioner number 1545 has three clinical privileges or panel membership action reports, two for Kansas actions and one for a Missouri action, a researcher who selected only Missouri clinical privileges or panel membership actions for analysis would have only one record for practitioner number 1545 in his or her Missouri data file, but that record would say the practitioner has three clinical privileges or panel membership action reports, not one.

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NPPSMRPT

Subject's Number of Professional Society Membership Reports submitted under Title IV.

Caution: This variable counts the number of professional society membership action reports for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner's number of professional society membership action reports in your selected subset. For example, if practitioner number 1545 has three professional society membership reports, two for Kansas actions and one for a Missouri action, a researcher who selected only Missouri professional society membership actions for analysis would have only one record for practitioner number 1545 in his or her Missouri data file, but that record would say the practitioner has three professional society membership action reports, not one.

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NPDEARPT

Subject's Number of DEA Reports submitted under Title IV.

Caution: This variable counts the number of DEA actions for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner's number of DEA action reports in your selected subset. For example, if practitioner number 1545 has three DEA action reports, two for DEA actions while the practitioner was practicing in Kansas and one for while the practitioner was practicing in Missouri, a researcher who selected only Missouri reports for analysis would have only one DEA action record for practitioner number 1545 in his or her Missouri data file, but that record would say the practitioner has three DEA action reports, not one.

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NPEXCRPT

Subject's Number of Exclusion Reports submitted under Title IV and/or Section 1921.

Caution: This variable counts the number of exclusion actions for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner's number of exclusion action reports in your selected subset. For example, if practitioner number 1545 has three exclusion action reports, two for exclusion actions while the practitioner was practicing in Kansas and one for while the practitioner was practicing in Missouri, a researcher who selected only Missouri reports for analysis would have only one exclusion action record for practitioner number 1545 in his or her Missouri data file, but that record would say the practitioner has three exclusion action reports, not one.

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NPGARPT

Subject's Number of Government Administrative Reports submitted under Section 1921.

Caution: This variable counts the number of government administrative actions for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner's number of government administrative action reports in your selected subset. For example, if practitioner number 1545 has three government administrative action reports, two for government administrative actions while the practitioner was practicing in Kansas and one for while the practitioner was practicing in Missouri, a researcher who selected only Missouri reports for analysis would have only one government administrative action record for practitioner number 1545 in his or her Missouri data file, but that record would say the practitioner has three government administrative action reports, not one.

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NPCTMRPT

Subject's Number of Contract Termination Reports submitted under Section 1921.

Caution: This variable counts the number of contract termination actions for the practitioner in the full Public Use File. If you select a subset of the file (e.g., only reports from a particular State) this value may not reflect the practitioner's number of contract termination action reports in your selected subset. For example, if practitioner number 1545 has three contract termination action reports, two for contract termination actions while the practitioner was practicing in Kansas and one for while the practitioner was practicing in Missouri, a researcher who selected only Missouri reports for analysis would have only one contract termination action record for practitioner number 1545 in his or her Missouri data file, but that record would say the practitioner has three contract termination action reports, not one.

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FUNDPYMT

Malpractice Payment Made by a State Patient Compensation Fund, Excess Judgment Fund, or Other Similar State Funds. (Nine States -- Florida, Indiana, Kansas, Louisiana, Nebraska, New Mexico, Pennsylvania, South Carolina, and Wisconsin -- have or had State funds which make malpractice payments in addition to the payment made by a practitioner's primary malpractice insurance carrier if the total amount of the settlement or judgment is more than a maximum amount set in State law for payments by a primary insurance carrier. If such payments are made, there are in most cases two reports to the NPDB, one from the primary malpractice insurance carrier and one from the State fund, for a single malpractice incident. [In some instances, however, a State fund may be the only payer.] Note that payments made by these funds have the effect of increasing the number of reports and decreasing the mean and median payment amounts in the affected States. Some of these funds have made payments for practitioners not practicing in the State of the fund at the time of the malpractice incident and some routinely make some payments for practitioners who are not covered by any primary carrier. New York has a malpractice carrier of last resort which sometimes is a practitioner's only carrier and sometimes provides only excess coverage. Payments by this New York carrier are NOT identified as state fund payments.) [This field is blank except for Malpractice Payment records.]

Value	Label
0	Malpractice Payment Made by an Insurance Company or Self-Insured Entity
1	Malpractice Payment Made by a State Fund

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