*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| H269 - Unspecified cataract - as a primary diagnosis code | H269 - Unspecified cataract - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.8 | |
| Readmission Rate (%) | 20.49 | |
| 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) | DRG 116: INTRAOCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 11,033 | |
| Total Hospitalizations with ICD H269 - Unspecified cataract | 41 | |
| DRG Share of Total Hospitalizations | 0.03 | |
| % of Total ICD H269 - Unspecified cataract in DRG | 53.25 | |
| Avg LOS at DRG | 3.12 | |
| Avg LOS with ICD H269 - Unspecified cataract | 2.98 | |
| Readmission Rate at DRG | 14.43 | |
| Readmission Rate with ICD H269 - Unspecified cataract | NA | |
| Unplanned Readmission Rate at DRG | 9.53 | |
| Unplanned Readmission Rate with ICD H269 - Unspecified cataract | NA | |
| Total Medicare payments at DRG | $51,804,064 | |
| Total Medicare payments with ICD H269 - Unspecified cataract | $215,692 | |
| Total Medicare payment per Day at DRG | $1,505 | |
| Total Medicare payment per Day with ICD H269 - Unspecified cataract | $1,768 | |
| Total Medicare payment per Hospitalization at DRG | $4,695 | |
| Total Medicare payment per Hospitalization with ICD H269 - Unspecified cataract | $5,261 | |
| Total Medicare Charges at DRG | $301,182,636 | |
| Total Medicare Charges with ICD H269 - Unspecified cataract | $1,248,806 | |
| Avg Charges at DRG | $27,298 | |
| Avg Charges with ICD H269 - Unspecified cataract | $30,459 | |
| Mortality Rate at DRG | 0.11 | |
| Mortality Rate with ICD H269 - Unspecified cataract | NA | |
| SNF Discharge Rate at DRG | 17.96 | |
| SNF Discharge Rate with ICD H269 - Unspecified cataract | NA | |
| Home Discharge Rate at DRG | 57.38 | |
| Home Discharge Rate with ICD H269 - Unspecified cataract | 60.98 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD H269 - Unspecified cataract | 7,529 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD H269 - Unspecified cataract in DRG | 5.97 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD H269 - Unspecified cataract | 2.57 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD H269 - Unspecified cataract | 9.18 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD H269 - Unspecified cataract | 3.54 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD H269 - Unspecified cataract | $92,561,556 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD H269 - Unspecified cataract | $4,784 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD H269 - Unspecified cataract | $12,294 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD H269 - Unspecified cataract | $449,100,095 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD H269 - Unspecified cataract | $59,649 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD H269 - Unspecified cataract | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD H269 - Unspecified cataract | 25.59 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD H269 - Unspecified cataract | 27.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD H269 - Unspecified cataract | 1,997 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD H269 - Unspecified cataract in DRG | 1.58 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD H269 - Unspecified cataract | 4.25 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD H269 - Unspecified cataract | 35.56 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD H269 - Unspecified cataract | 8.41 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD H269 - Unspecified cataract | $14,671,363 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD H269 - Unspecified cataract | $1,729 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD H269 - Unspecified cataract | $7,347 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD H269 - Unspecified cataract | $74,094,575 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD H269 - Unspecified cataract | $37,103 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD H269 - Unspecified cataract | 1.2 | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD H269 - Unspecified cataract | 24.79 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD H269 - Unspecified cataract | 25.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD H269 - Unspecified cataract | 1,618 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD H269 - Unspecified cataract in DRG | 1.28 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD H269 - Unspecified cataract | 4.49 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD H269 - Unspecified cataract | 17.7 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD H269 - Unspecified cataract | 13.25 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD H269 - Unspecified cataract | $11,505,850 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD H269 - Unspecified cataract | $1,584 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD H269 - Unspecified cataract | $7,111 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD H269 - Unspecified cataract | $57,795,666 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD H269 - Unspecified cataract | $35,720 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD H269 - Unspecified cataract | 1.3 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD H269 - Unspecified cataract | 22.5 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD H269 - Unspecified cataract | 45.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD H269 - Unspecified cataract | 1,343 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD H269 - Unspecified cataract in DRG | 1.06 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD H269 - Unspecified cataract | 12.02 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD H269 - Unspecified cataract | 10.53 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD H269 - Unspecified cataract | 8.28 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD H269 - Unspecified cataract | $23,464,529 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD H269 - Unspecified cataract | $1,453 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD H269 - Unspecified cataract | $17,472 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD H269 - Unspecified cataract | $55,456,972 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD H269 - Unspecified cataract | $41,293 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD H269 - Unspecified cataract | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD H269 - Unspecified cataract | 19.21 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD H269 - Unspecified cataract | 19.51 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 1,508 |
| WINCHESTER MEDICAL CENTER | 1840 AMHERST ST | WINCHESTER | VA | 22601 | 702 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 699 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL LOMBARDI | 160 HANOVER AVENUE | MORRISTOWN | NJ | 07962 | 66 |
| Dr. ROBERT GOLDMAN | 160 HANOVER AVENUE | MORRISTOWN | NJ | 07962 | 63 |
| Dr. TIMOTHY EUGENE SPENCER | 14250 BEADLE LAKE RD | BATTLE CREEK | MI | 49014 | 53 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN JEROME COLLINS | 3401 SPRINGHILL DRIVE | NORTH LITTLE ROCK | AR | 72117 | 166 |
| Dr. MARVIN BRUCE SANDERSON | 500 S UNIVERSITY AVE | LITTLE ROCK | AR | 72205 | 98 |
| Dr. S ALLAN ENRIQUEZ | 1515 W TRUMAN RD | INDEPENDENCE | MO | 64050 | 93 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z87891 | Personal history of nicotine dependence |
| 2 | I10 | Essential (primary) hypertension |