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Financial PMPM

Code

The Financial PMPM data mart computes member months and stratifies population paid and allowed amounts by member months and service categories across various payers and plans.

pmpm_prep

A table that computes all the paid and allowed statistics for every patient_id and year_month combination.

Primary Keys:

  • patient_id
  • year_month
  • payer
  • plan
  • data_source
ColumnData TypeDescriptionTerminology

pmpm_payer_plan

A table that computes per member per month statistics for every service category by aggregating across patients from pmpm_prep. This table is at the payer, plan grain.

Primary Keys:

  • year_month
  • payer
  • plan
  • data_source
ColumnData TypeDescriptionTerminology

pmpm_payer

A table that computes per member per month statistics for every service category by aggregating across patients from pmpm_prep. This table is at the payer grain.

Primary Keys:

  • year_month
  • payer
  • data_source
ColumnData TypeDescriptionTerminology