*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| H0520 - Unspecified exophthalmos - as a primary diagnosis code | H0520 - Unspecified exophthalmos - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.29 | |
| Readmission Rate (%) | 26.17 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 125: OTHER DISORDERS OF THE EYE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 11,033 |
| Total Hospitalizations with ICD H0520 - Unspecified exophthalmos | 20 |
| DRG Share of Total Hospitalizations | 0.03 |
| % of Total ICD H0520 - Unspecified exophthalmos in DRG | 50.0 |
| Avg LOS at DRG | 3.12 |
| Avg LOS with ICD H0520 - Unspecified exophthalmos | 3.85 |
| Readmission Rate at DRG | 14.43 |
| Readmission Rate with ICD H0520 - Unspecified exophthalmos | NA |
| Unplanned Readmission Rate at DRG | 9.53 |
| Unplanned Readmission Rate with ICD H0520 - Unspecified exophthalmos | NA |
| Total Medicare payments at DRG | $51,804,064 |
| Total Medicare payments with ICD H0520 - Unspecified exophthalmos | $100,432 |
| Total Medicare payment per Day at DRG | $1,505 |
| Total Medicare payment per Day with ICD H0520 - Unspecified exophthalmos | $1,304 |
| Total Medicare payment per Hospitalization at DRG | $4,695 |
| Total Medicare payment per Hospitalization with ICD H0520 - Unspecified exophthalmos | $5,022 |
| Total Medicare Charges at DRG | $301,182,636 |
| Total Medicare Charges with ICD H0520 - Unspecified exophthalmos | $668,853 |
| Avg Charges at DRG | $27,298 |
| Avg Charges with ICD H0520 - Unspecified exophthalmos | $33,443 |
| Mortality Rate at DRG | 0.11 |
| Mortality Rate with ICD H0520 - Unspecified exophthalmos | NA |
| SNF Discharge Rate at DRG | 17.96 |
| SNF Discharge Rate with ICD H0520 - Unspecified exophthalmos | NA |
| Home Discharge Rate at DRG | 57.38 |
| Home Discharge Rate with ICD H0520 - Unspecified exophthalmos | 65.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 125: OTHER DISORDERS OF THE EYE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD H0520 - Unspecified exophthalmos | 268 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD H0520 - Unspecified exophthalmos in DRG | 4.48 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD H0520 - Unspecified exophthalmos | 8.06 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD H0520 - Unspecified exophthalmos | 26.73 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD H0520 - Unspecified exophthalmos | 18.89 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD H0520 - Unspecified exophthalmos | $3,549,055 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD H0520 - Unspecified exophthalmos | $1,644 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD H0520 - Unspecified exophthalmos | $13,243 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD H0520 - Unspecified exophthalmos | $20,149,214 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD H0520 - Unspecified exophthalmos | $75,184 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD H0520 - Unspecified exophthalmos | 10.45 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD H0520 - Unspecified exophthalmos | 28.73 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD H0520 - Unspecified exophthalmos | 19.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 115: EXTRAOCULAR PROCEDURES EXCEPT ORBIT | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 2,525 | ||||
| Total Hospitalizations with ICD H0520 - Unspecified exophthalmos | 82 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD H0520 - Unspecified exophthalmos in DRG | 1.37 | ||||
| Avg LOS at DRG | 4.44 | ||||
| Avg LOS with ICD H0520 - Unspecified exophthalmos | 4.98 | ||||
| Readmission Rate at DRG | 14.0 | ||||
| Readmission Rate with ICD H0520 - Unspecified exophthalmos | 16.0 | ||||
| Unplanned Readmission Rate at DRG | 8.99 | ||||
| Unplanned Readmission Rate with ICD H0520 - Unspecified exophthalmos | NA | ||||
| Total Medicare payments at DRG | $25,389,975 | ||||
| Total Medicare payments with ICD H0520 - Unspecified exophthalmos | $938,335 | ||||
| Total Medicare payment per Day at DRG | $2,265 | ||||
| Total Medicare payment per Day with ICD H0520 - Unspecified exophthalmos | $2,300 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,055 | ||||
| Total Medicare payment per Hospitalization with ICD H0520 - Unspecified exophthalmos | $11,443 | ||||
| Total Medicare Charges at DRG | $136,841,660 | ||||
| Total Medicare Charges with ICD H0520 - Unspecified exophthalmos | $5,554,497 | ||||
| Avg Charges at DRG | $54,195 | ||||
| Avg Charges with ICD H0520 - Unspecified exophthalmos | $67,738 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD H0520 - Unspecified exophthalmos | NA | ||||
| SNF Discharge Rate at DRG | 13.74 | ||||
| SNF Discharge Rate with ICD H0520 - Unspecified exophthalmos | 17.07 | ||||
| Home Discharge Rate at DRG | 66.57 | ||||
| Home Discharge Rate with ICD H0520 - Unspecified exophthalmos | 53.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 027: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 121: ACUTE MAJOR EYE INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD H0520 - Unspecified exophthalmos | 76 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD H0520 - Unspecified exophthalmos in DRG | 1.27 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD H0520 - Unspecified exophthalmos | 5.2 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD H0520 - Unspecified exophthalmos | 25.0 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD H0520 - Unspecified exophthalmos | 20.83 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD H0520 - Unspecified exophthalmos | $571,225 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD H0520 - Unspecified exophthalmos | $1,446 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD H0520 - Unspecified exophthalmos | $7,516 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD H0520 - Unspecified exophthalmos | $3,220,230 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD H0520 - Unspecified exophthalmos | $42,371 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD H0520 - Unspecified exophthalmos | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD H0520 - Unspecified exophthalmos | NA | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD H0520 - Unspecified exophthalmos | 51.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 026: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,486 | ||||
| Total Hospitalizations with ICD H0520 - Unspecified exophthalmos | 65 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD H0520 - Unspecified exophthalmos in DRG | 1.09 | ||||
| Avg LOS at DRG | 5.75 | ||||
| Avg LOS with ICD H0520 - Unspecified exophthalmos | 7.06 | ||||
| Readmission Rate at DRG | 17.52 | ||||
| Readmission Rate with ICD H0520 - Unspecified exophthalmos | 20.97 | ||||
| Unplanned Readmission Rate at DRG | 9.11 | ||||
| Unplanned Readmission Rate with ICD H0520 - Unspecified exophthalmos | NA | ||||
| Total Medicare payments at DRG | $23,895,770 | ||||
| Total Medicare payments with ICD H0520 - Unspecified exophthalmos | $1,094,121 | ||||
| Total Medicare payment per Day at DRG | $2,796 | ||||
| Total Medicare payment per Day with ICD H0520 - Unspecified exophthalmos | $2,384 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,081 | ||||
| Total Medicare payment per Hospitalization with ICD H0520 - Unspecified exophthalmos | $16,833 | ||||
| Total Medicare Charges at DRG | $123,406,710 | ||||
| Total Medicare Charges with ICD H0520 - Unspecified exophthalmos | $5,242,408 | ||||
| Avg Charges at DRG | $83,046 | ||||
| Avg Charges with ICD H0520 - Unspecified exophthalmos | $80,652 | ||||
| Mortality Rate at DRG | 0.74 | ||||
| Mortality Rate with ICD H0520 - Unspecified exophthalmos | NA | ||||
| SNF Discharge Rate at DRG | 24.02 | ||||
| SNF Discharge Rate with ICD H0520 - Unspecified exophthalmos | 18.46 | ||||
| Home Discharge Rate at DRG | 48.79 | ||||
| Home Discharge Rate with ICD H0520 - Unspecified exophthalmos | 49.23 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 53 |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 43 |
| NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 42 |