*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B20 - Human immunodeficiency virus [HIV] disease - as a primary diagnosis code | B20 - Human immunodeficiency virus [HIV] disease - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.89 | |
| Readmission Rate (%) | 31.56 | |
| Unplanned Readmission Rate (%) | 22.89 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 975: HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 977: HIV WITH OR WITHOUT OTHER RELATED CONDITION | DRG 976: HIV WITH MAJOR RELATED CONDITION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 969: HIV WITH EXTENSIVE O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,066 | ||||
| Total Hospitalizations with ICD B20 - Human immunodeficiency virus [HIV] disease | 6,896 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD B20 - Human immunodeficiency virus [HIV] disease in DRG | 45.02 | ||||
| Avg LOS at DRG | 9.3 | ||||
| Avg LOS with ICD B20 - Human immunodeficiency virus [HIV] disease | 10.2 | ||||
| Readmission Rate at DRG | 35.25 | ||||
| Readmission Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 35.77 | ||||
| Unplanned Readmission Rate at DRG | 25.91 | ||||
| Unplanned Readmission Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 25.68 | ||||
| Total Medicare payments at DRG | $327,897,431 | ||||
| Total Medicare payments with ICD B20 - Human immunodeficiency virus [HIV] disease | $151,967,051 | ||||
| Total Medicare payment per Day at DRG | $2,341 | ||||
| Total Medicare payment per Day with ICD B20 - Human immunodeficiency virus [HIV] disease | $2,160 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,764 | ||||
| Total Medicare payment per Hospitalization with ICD B20 - Human immunodeficiency virus [HIV] disease | $22,037 | ||||
| Total Medicare Charges at DRG | $1,464,361,630 | ||||
| Total Medicare Charges with ICD B20 - Human immunodeficiency virus [HIV] disease | $704,199,515 | ||||
| Avg Charges at DRG | $97,196 | ||||
| Avg Charges with ICD B20 - Human immunodeficiency virus [HIV] disease | $102,117 | ||||
| Mortality Rate at DRG | 10.49 | ||||
| Mortality Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 10.12 | ||||
| SNF Discharge Rate at DRG | 17.66 | ||||
| SNF Discharge Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 17.59 | ||||
| Home Discharge Rate at DRG | 40.16 | ||||
| Home Discharge Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 40.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 970: HIV WITH EXTENSIVE O.R. PROCEDURE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|
| Total Hospitalizations at DRG | 115 | ||
| Total Hospitalizations with ICD B20 - Human immunodeficiency virus [HIV] disease | 115 | ||
| DRG Share of Total Hospitalizations | 0.0 | ||
| % of Total ICD B20 - Human immunodeficiency virus [HIV] disease in DRG | 0.75 | ||
| Avg LOS at DRG | 7.2 | ||
| Avg LOS with ICD B20 - Human immunodeficiency virus [HIV] disease | 7.2 | ||
| Readmission Rate at DRG | 25.0 | ||
| Readmission Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 25.0 | ||
| Unplanned Readmission Rate at DRG | 13.39 | ||
| Unplanned Readmission Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 13.39 | ||
| Total Medicare payments at DRG | $2,051,711 | ||
| Total Medicare payments with ICD B20 - Human immunodeficiency virus [HIV] disease | $2,051,711 | ||
| Total Medicare payment per Day at DRG | $2,478 | ||
| Total Medicare payment per Day with ICD B20 - Human immunodeficiency virus [HIV] disease | $2,478 | ||
| Total Medicare payment per Hospitalization at DRG | $17,841 | ||
| Total Medicare payment per Hospitalization with ICD B20 - Human immunodeficiency virus [HIV] disease | $17,841 | ||
| Total Medicare Charges at DRG | $10,353,036 | ||
| Total Medicare Charges with ICD B20 - Human immunodeficiency virus [HIV] disease | $10,353,036 | ||
| Avg Charges at DRG | $90,026 | ||
| Avg Charges with ICD B20 - Human immunodeficiency virus [HIV] disease | $90,026 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | NA | ||
| SNF Discharge Rate at DRG | 14.78 | ||
| SNF Discharge Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 14.78 | ||
| Home Discharge Rate at DRG | 47.83 | ||
| Home Discharge Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 47.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| GRADY MEMORIAL HOSPITAL | 80 JESSE HILL JR DR, SE | ATLANTA | GA | 30303 | 143 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 121 |
| PARKLAND MEMORIAL HOSPITAL | 5200 HARRY HINES BLVD | DALLAS | TX | 75235 | 113 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JORDAN B GLASER | 1408 RICHMOND ROAD | STATEN ISLAND | NY | 10304 | 22 |
| Dr. JERRY LYNN CADE | 2300 W CHARLESTON BLVD | LAS VEGAS | NV | 89102 | 18 |
| Dr. KAVEH SAMANI | 7015 ALMEDA RD | HOUSTON | TX | 77054 | 18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 975: HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 977: HIV WITH OR WITHOUT OTHER RELATED CONDITION | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,066 | ||||
| Total Hospitalizations with ICD B20 - Human immunodeficiency virus [HIV] disease | 15,066 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD B20 - Human immunodeficiency virus [HIV] disease in DRG | 14.57 | ||||
| Avg LOS at DRG | 9.3 | ||||
| Avg LOS with ICD B20 - Human immunodeficiency virus [HIV] disease | 9.3 | ||||
| Readmission Rate at DRG | 35.25 | ||||
| Readmission Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 35.25 | ||||
| Unplanned Readmission Rate at DRG | 25.91 | ||||
| Unplanned Readmission Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 25.91 | ||||
| Total Medicare payments at DRG | $327,897,431 | ||||
| Total Medicare payments with ICD B20 - Human immunodeficiency virus [HIV] disease | $327,897,431 | ||||
| Total Medicare payment per Day at DRG | $2,341 | ||||
| Total Medicare payment per Day with ICD B20 - Human immunodeficiency virus [HIV] disease | $2,341 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,764 | ||||
| Total Medicare payment per Hospitalization with ICD B20 - Human immunodeficiency virus [HIV] disease | $21,764 | ||||
| Total Medicare Charges at DRG | $1,464,361,630 | ||||
| Total Medicare Charges with ICD B20 - Human immunodeficiency virus [HIV] disease | $1,464,361,630 | ||||
| Avg Charges at DRG | $97,196 | ||||
| Avg Charges with ICD B20 - Human immunodeficiency virus [HIV] disease | $97,196 | ||||
| Mortality Rate at DRG | 10.49 | ||||
| Mortality Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 10.49 | ||||
| SNF Discharge Rate at DRG | 17.66 | ||||
| SNF Discharge Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 17.66 | ||||
| Home Discharge Rate at DRG | 40.16 | ||||
| Home Discharge Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 40.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 969: HIV WITH EXTENSIVE O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD B20 - Human immunodeficiency virus [HIV] disease | 2,948 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD B20 - Human immunodeficiency virus [HIV] disease in DRG | 2.85 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD B20 - Human immunodeficiency virus [HIV] disease | 4.67 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 41.03 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 36.06 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD B20 - Human immunodeficiency virus [HIV] disease | $31,161,428 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD B20 - Human immunodeficiency virus [HIV] disease | $2,264 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD B20 - Human immunodeficiency virus [HIV] disease | $10,570 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD B20 - Human immunodeficiency virus [HIV] disease | $127,695,190 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD B20 - Human immunodeficiency virus [HIV] disease | $43,316 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 1.73 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 8.31 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 63.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 976: HIV WITH MAJOR RELATED CONDITION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,786 | ||||
| Total Hospitalizations with ICD B20 - Human immunodeficiency virus [HIV] disease | 1,786 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD B20 - Human immunodeficiency virus [HIV] disease in DRG | 1.73 | ||||
| Avg LOS at DRG | 4.09 | ||||
| Avg LOS with ICD B20 - Human immunodeficiency virus [HIV] disease | 4.09 | ||||
| Readmission Rate at DRG | 19.22 | ||||
| Readmission Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 19.22 | ||||
| Unplanned Readmission Rate at DRG | 13.8 | ||||
| Unplanned Readmission Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 13.8 | ||||
| Total Medicare payments at DRG | $12,694,856 | ||||
| Total Medicare payments with ICD B20 - Human immunodeficiency virus [HIV] disease | $12,694,856 | ||||
| Total Medicare payment per Day at DRG | $1,737 | ||||
| Total Medicare payment per Day with ICD B20 - Human immunodeficiency virus [HIV] disease | $1,737 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,108 | ||||
| Total Medicare payment per Hospitalization with ICD B20 - Human immunodeficiency virus [HIV] disease | $7,108 | ||||
| Total Medicare Charges at DRG | $59,482,938 | ||||
| Total Medicare Charges with ICD B20 - Human immunodeficiency virus [HIV] disease | $59,482,938 | ||||
| Avg Charges at DRG | $33,305 | ||||
| Avg Charges with ICD B20 - Human immunodeficiency virus [HIV] disease | $33,305 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | NA | ||||
| SNF Discharge Rate at DRG | 4.98 | ||||
| SNF Discharge Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 4.98 | ||||
| Home Discharge Rate at DRG | 75.87 | ||||
| Home Discharge Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 75.87 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 190,819 | ||||
| Total Hospitalizations with ICD B20 - Human immunodeficiency virus [HIV] disease | 1,338 | ||||
| DRG Share of Total Hospitalizations | 0.58 | ||||
| % of Total ICD B20 - Human immunodeficiency virus [HIV] disease in DRG | 1.29 | ||||
| Avg LOS at DRG | 5.63 | ||||
| Avg LOS with ICD B20 - Human immunodeficiency virus [HIV] disease | 4.6 | ||||
| Readmission Rate at DRG | 28.97 | ||||
| Readmission Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 34.21 | ||||
| Unplanned Readmission Rate at DRG | 22.07 | ||||
| Unplanned Readmission Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 29.72 | ||||
| Total Medicare payments at DRG | $2,165,853,817 | ||||
| Total Medicare payments with ICD B20 - Human immunodeficiency virus [HIV] disease | $16,347,465 | ||||
| Total Medicare payment per Day at DRG | $2,015 | ||||
| Total Medicare payment per Day with ICD B20 - Human immunodeficiency virus [HIV] disease | $2,659 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,350 | ||||
| Total Medicare payment per Hospitalization with ICD B20 - Human immunodeficiency virus [HIV] disease | $12,218 | ||||
| Total Medicare Charges at DRG | $10,686,431,125 | ||||
| Total Medicare Charges with ICD B20 - Human immunodeficiency virus [HIV] disease | $66,230,426 | ||||
| Avg Charges at DRG | $56,003 | ||||
| Avg Charges with ICD B20 - Human immunodeficiency virus [HIV] disease | $49,500 | ||||
| Mortality Rate at DRG | 5.35 | ||||
| Mortality Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 1.49 | ||||
| SNF Discharge Rate at DRG | 23.91 | ||||
| SNF Discharge Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 10.91 | ||||
| Home Discharge Rate at DRG | 39.51 | ||||
| Home Discharge Rate with ICD B20 - Human immunodeficiency virus [HIV] disease | 62.41 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 994 |
| GRADY MEMORIAL HOSPITAL | 80 JESSE HILL JR DR, SE | ATLANTA | GA | 30303 | 878 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 848 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HAMIDREZA MOGHADDAM | 16919 N BAY RD | SUNNY ISLES BEACH | FL | 33160 | 40 |
| Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 39 |
| Dr. JORDAN B GLASER | 1408 RICHMOND ROAD | STATEN ISLAND | NY | 10304 | 36 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HAMIDREZA MOGHADDAM | 16919 N BAY RD | SUNNY ISLES BEACH | FL | 33160 | 129 |
| Dr. JORDAN B GLASER | 1408 RICHMOND ROAD | STATEN ISLAND | NY | 10304 | 128 |
| Dr. HAZEM F AL-ANDARY | 1839 CENTRAL AVE | ST PETERSBURG | FL | 33713 | 105 |