*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| H349 - Unspecified retinal vascular occlusion - as a primary diagnosis code | H349 - Unspecified retinal vascular occlusion - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.8 | |
| Readmission Rate (%) | 22.64 | |
| Unplanned Readmission Rate (%) | 4.94 | |
| 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 123: NEUROLOGICAL EYE DISORDERS | DRG 115: EXTRAOCULAR PROCEDURES EXCEPT ORBIT | |
|---|---|---|
| Total Hospitalizations at DRG | 8,949 | |
| Total Hospitalizations with ICD H349 - Unspecified retinal vascular occlusion | 240 | |
| DRG Share of Total Hospitalizations | 0.03 | |
| % of Total ICD H349 - Unspecified retinal vascular occlusion in DRG | 91.95 | |
| Avg LOS at DRG | 2.52 | |
| Avg LOS with ICD H349 - Unspecified retinal vascular occlusion | 2.49 | |
| Readmission Rate at DRG | 11.67 | |
| Readmission Rate with ICD H349 - Unspecified retinal vascular occlusion | 11.26 | |
| Unplanned Readmission Rate at DRG | 7.05 | |
| Unplanned Readmission Rate with ICD H349 - Unspecified retinal vascular occlusion | 5.41 | |
| Total Medicare payments at DRG | $38,754,583 | |
| Total Medicare payments with ICD H349 - Unspecified retinal vascular occlusion | $976,098 | |
| Total Medicare payment per Day at DRG | $1,721 | |
| Total Medicare payment per Day with ICD H349 - Unspecified retinal vascular occlusion | $1,632 | |
| Total Medicare payment per Hospitalization at DRG | $4,331 | |
| Total Medicare payment per Hospitalization with ICD H349 - Unspecified retinal vascular occlusion | $4,067 | |
| Total Medicare Charges at DRG | $282,679,076 | |
| Total Medicare Charges with ICD H349 - Unspecified retinal vascular occlusion | $7,756,567 | |
| Avg Charges at DRG | $31,588 | |
| Avg Charges with ICD H349 - Unspecified retinal vascular occlusion | $32,319 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD H349 - Unspecified retinal vascular occlusion | NA | |
| SNF Discharge Rate at DRG | 6.01 | |
| SNF Discharge Rate with ICD H349 - Unspecified retinal vascular occlusion | NA | |
| Home Discharge Rate at DRG | 76.31 | |
| Home Discharge Rate with ICD H349 - Unspecified retinal vascular occlusion | 79.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 038: EXTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 123: NEUROLOGICAL EYE DISORDERS | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 36,313 | ||||
| Total Hospitalizations with ICD H349 - Unspecified retinal vascular occlusion | 287 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD H349 - Unspecified retinal vascular occlusion in DRG | 7.85 | ||||
| Avg LOS at DRG | 3.05 | ||||
| Avg LOS with ICD H349 - Unspecified retinal vascular occlusion | 2.05 | ||||
| Readmission Rate at DRG | 15.97 | ||||
| Readmission Rate with ICD H349 - Unspecified retinal vascular occlusion | 9.29 | ||||
| Unplanned Readmission Rate at DRG | 7.34 | ||||
| Unplanned Readmission Rate with ICD H349 - Unspecified retinal vascular occlusion | 5.36 | ||||
| Total Medicare payments at DRG | $350,500,102 | ||||
| Total Medicare payments with ICD H349 - Unspecified retinal vascular occlusion | $2,705,507 | ||||
| Total Medicare payment per Day at DRG | $3,165 | ||||
| Total Medicare payment per Day with ICD H349 - Unspecified retinal vascular occlusion | $4,609 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,652 | ||||
| Total Medicare payment per Hospitalization with ICD H349 - Unspecified retinal vascular occlusion | $9,427 | ||||
| Total Medicare Charges at DRG | $2,204,247,436 | ||||
| Total Medicare Charges with ICD H349 - Unspecified retinal vascular occlusion | $14,213,090 | ||||
| Avg Charges at DRG | $60,701 | ||||
| Avg Charges with ICD H349 - Unspecified retinal vascular occlusion | $49,523 | ||||
| Mortality Rate at DRG | 0.12 | ||||
| Mortality Rate with ICD H349 - Unspecified retinal vascular occlusion | NA | ||||
| SNF Discharge Rate at DRG | 6.83 | ||||
| SNF Discharge Rate with ICD H349 - Unspecified retinal vascular occlusion | NA | ||||
| Home Discharge Rate at DRG | 74.35 | ||||
| Home Discharge Rate with ICD H349 - Unspecified retinal vascular occlusion | 88.85 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 069: TRANSIENT ISCHEMIA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD H349 - Unspecified retinal vascular occlusion | 82 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD H349 - Unspecified retinal vascular occlusion in DRG | 2.24 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD H349 - Unspecified retinal vascular occlusion | 5.41 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD H349 - Unspecified retinal vascular occlusion | 35.9 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD H349 - Unspecified retinal vascular occlusion | 25.64 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD H349 - Unspecified retinal vascular occlusion | $841,128 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD H349 - Unspecified retinal vascular occlusion | $1,894 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD H349 - Unspecified retinal vascular occlusion | $10,258 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD H349 - Unspecified retinal vascular occlusion | $3,280,464 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD H349 - Unspecified retinal vascular occlusion | $40,006 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD H349 - Unspecified retinal vascular occlusion | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD H349 - Unspecified retinal vascular occlusion | 24.39 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD H349 - Unspecified retinal vascular occlusion | 43.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD H349 - Unspecified retinal vascular occlusion | 42 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD H349 - Unspecified retinal vascular occlusion in DRG | 1.15 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD H349 - Unspecified retinal vascular occlusion | 3.57 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD H349 - Unspecified retinal vascular occlusion | NA | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD H349 - Unspecified retinal vascular occlusion | NA | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD H349 - Unspecified retinal vascular occlusion | $284,529 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD H349 - Unspecified retinal vascular occlusion | $1,897 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD H349 - Unspecified retinal vascular occlusion | $6,775 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD H349 - Unspecified retinal vascular occlusion | $1,249,641 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD H349 - Unspecified retinal vascular occlusion | $29,753 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD H349 - Unspecified retinal vascular occlusion | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD H349 - Unspecified retinal vascular occlusion | NA | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD H349 - Unspecified retinal vascular occlusion | 64.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 227,705 | ||||
| Total Hospitalizations with ICD H349 - Unspecified retinal vascular occlusion | 33 | ||||
| DRG Share of Total Hospitalizations | 0.69 | ||||
| % of Total ICD H349 - Unspecified retinal vascular occlusion in DRG | 0.9 | ||||
| Avg LOS at DRG | 4.51 | ||||
| Avg LOS with ICD H349 - Unspecified retinal vascular occlusion | 4.42 | ||||
| Readmission Rate at DRG | 24.66 | ||||
| Readmission Rate with ICD H349 - Unspecified retinal vascular occlusion | NA | ||||
| Unplanned Readmission Rate at DRG | 18.32 | ||||
| Unplanned Readmission Rate with ICD H349 - Unspecified retinal vascular occlusion | NA | ||||
| Total Medicare payments at DRG | $1,725,174,811 | ||||
| Total Medicare payments with ICD H349 - Unspecified retinal vascular occlusion | $260,989 | ||||
| Total Medicare payment per Day at DRG | $1,678 | ||||
| Total Medicare payment per Day with ICD H349 - Unspecified retinal vascular occlusion | $1,788 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,576 | ||||
| Total Medicare payment per Hospitalization with ICD H349 - Unspecified retinal vascular occlusion | $7,909 | ||||
| Total Medicare Charges at DRG | $8,683,995,141 | ||||
| Total Medicare Charges with ICD H349 - Unspecified retinal vascular occlusion | $1,232,178 | ||||
| Avg Charges at DRG | $38,137 | ||||
| Avg Charges with ICD H349 - Unspecified retinal vascular occlusion | $37,339 | ||||
| Mortality Rate at DRG | 4.12 | ||||
| Mortality Rate with ICD H349 - Unspecified retinal vascular occlusion | NA | ||||
| SNF Discharge Rate at DRG | 17.01 | ||||
| SNF Discharge Rate with ICD H349 - Unspecified retinal vascular occlusion | NA | ||||
| Home Discharge Rate at DRG | 48.19 | ||||
| Home Discharge Rate with ICD H349 - Unspecified retinal vascular occlusion | 45.45 |
| 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 | 20 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 20 |
| LAHEY HOSPITAL & MEDICAL CENTER | 41 MALL RD | BURLINGTON | MA | 01805 | 19 |