Carrier Line Pricing Locality Code
Code denoting the carrier-specific locality used for pricing the service for this line item on the carrier claim (non-DMERC).
This variable is coded, and will contain one of the following values.
Medicare Localities There are currently 89 total PFS localities; 34 localities are statewide areas (that is, only one locality for the entire state).
There are 52 localities in the other 16 states, with 10 states having 2 localities, 2 states having 3 localities, 1 state having 4 localities, and 3 states having 5 or more localities.
The District of Columbia, Maryland, and Virginia suburbs, Puerto Rico, and the Virgin Islands are additional localities that make up the remainder of the total of 89 localities.
| Value | Description |
|---|---|
1 |
ALABAMA |
2 |
ALASKA |
3 |
ARIZONA |
4 |
ARKANSAS |
5 |
ANAHEIM/SANTA ANA, CA |
6 |
LOS ANGELES, CA |
7 |
MARIN/NAPA/SOLANO, CA |
8 |
OAKLAND/BERKELEY, CA |
9 |
REST OF CALIFORNIA |
10 |
SAN FRANCISCO, CA |
11 |
SAN MATEO, CA |
12 |
SANTA CLARA, CA |
13 |
VENTURA, CA |
14 |
COLORADO |
15 |
CONNECTICUT |
16 |
DC + MD/VA SUBURBS |
17 |
DELAWARE |
18 |
FORT LAUDERDALE, FL |
19 |
MIAMI, FL |
20 |
REST OF FLORIDA |
21 |
ATLANTA, GA |
22 |
REST OF GEORGIA |
23 |
HAWAII |
24 |
IDAHO |
25 |
CHICAGO, IL |
26 |
EAST ST. LOUIS, IL |
27 |
REST OF ILLINOIS |
28 |
SUBURBAN CHICAGO, IL |
29 |
INDIANA |
30 |
IOWA |
31 |
KANSAS |
32 |
KENTUCKY |
33 |
NEW ORLEANS, LA |
34 |
REST OF LOUISIANA |
35 |
REST OF MAINE |
36 |
SOUTHERN MAINE |
37 |
BALTIMORE/SURR. CNTYS, MD |
38 |
REST OF MARYLAND |
39 |
METROPOLITAN BOSTON |
40 |
REST OF MASSACHUSETTS |
41 |
DETROIT, MI |
42 |
REST OF MICHIGAN |
43 |
MINNESOTA |
44 |
MISSISSIPPI |
45 |
METROPOLITAN KANSAS CITY, MO |
46 |
METROPOLITAN ST. LOUIS, MO |
47 |
REST OF MISSOURI |
48 |
MONTANA |
49 |
NEBRASKA |
50 |
NEVADA |
51 |
NEW HAMPSHIRE |
52 |
NORTHERN NJ |
53 |
REST OF NEW JERSEY |
54 |
NEW MEXICO |
55 |
MANHATTAN, NY |
56 |
NYC SUBURBS/LONG I., NY |
57 |
POUGHKPSIE/N NYC SUBURBS, NY |
58 |
QUEENS, NY |
59 |
REST OF NEW YORK |
60 |
NORTH CAROLINA |
61 |
NORTH DAKOTA |
62 |
OHIO |
63 |
OKLAHOMA |
64 |
PORTLAND, OR |
65 |
REST OF OREGON |
66 |
METROPOLITAN PHILADELPHIA, PA |
67 |
REST OF PENNSYLVANIA |
68 |
PUERTO RICO |
69 |
RHODE ISLAND |
70 |
SOUTH CAROLINA |
71 |
SOUTH DAKOTA |
72 |
TENNESSEE |
73 |
AUSTIN, TX |
74 |
BEAUMONT, TX |
75 |
BRAZORIA, TX |
76 |
DALLAS, TX |
77 |
FORT WORTH, TX |
78 |
GALVESTON, TX |
79 |
HOUSTON, TX |
80 |
REST OF TEXAS |
81 |
UTAH |
82 |
VERMONT |
83 |
VIRGIN ISLANDS |
84 |
VIRGINIA |
85 |
REST OF WASHINGTON |
86 |
SEATTLE (KING CNTY), WA |
87 |
WEST VIRGINIA |
88 |
WISCONSIN 89 WYOMING |
Some additional information on this variable: