*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
H3530 - Unspecified macular degeneration - as a primary diagnosis code | H3530 - Unspecified macular degeneration - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 5.19 | |
Readmission Rate (%) | 19.37 | |
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 H3530 - Unspecified macular degeneration | 68 |
DRG Share of Total Hospitalizations | 0.03 |
% of Total ICD H3530 - Unspecified macular degeneration in DRG | 87.18 |
Avg LOS at DRG | 3.12 |
Avg LOS with ICD H3530 - Unspecified macular degeneration | 2.56 |
Readmission Rate at DRG | 14.43 |
Readmission Rate with ICD H3530 - Unspecified macular degeneration | NA |
Unplanned Readmission Rate at DRG | 9.53 |
Unplanned Readmission Rate with ICD H3530 - Unspecified macular degeneration | NA |
Total Medicare payments at DRG | $51,804,064 |
Total Medicare payments with ICD H3530 - Unspecified macular degeneration | $273,955 |
Total Medicare payment per Day at DRG | $1,505 |
Total Medicare payment per Day with ICD H3530 - Unspecified macular degeneration | $1,574 |
Total Medicare payment per Hospitalization at DRG | $4,695 |
Total Medicare payment per Hospitalization with ICD H3530 - Unspecified macular degeneration | $4,029 |
Total Medicare Charges at DRG | $301,182,636 |
Total Medicare Charges with ICD H3530 - Unspecified macular degeneration | $1,952,266 |
Avg Charges at DRG | $27,298 |
Avg Charges with ICD H3530 - Unspecified macular degeneration | $28,710 |
Mortality Rate at DRG | 0.11 |
Mortality Rate with ICD H3530 - Unspecified macular degeneration | NA |
SNF Discharge Rate at DRG | 17.96 |
SNF Discharge Rate with ICD H3530 - Unspecified macular degeneration | 29.41 |
Home Discharge Rate at DRG | 57.38 |
Home Discharge Rate with ICD H3530 - Unspecified macular degeneration | 50.0 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,808,415 | ||||
Total Hospitalizations with ICD H3530 - Unspecified macular degeneration | 19,486 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD H3530 - Unspecified macular degeneration in DRG | 5.28 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD H3530 - Unspecified macular degeneration | 5.73 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD H3530 - Unspecified macular degeneration | 19.41 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD H3530 - Unspecified macular degeneration | 14.28 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD H3530 - Unspecified macular degeneration | $219,675,314 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD H3530 - Unspecified macular degeneration | $1,967 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD H3530 - Unspecified macular degeneration | $11,273 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD H3530 - Unspecified macular degeneration | $941,229,168 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD H3530 - Unspecified macular degeneration | $48,303 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD H3530 - Unspecified macular degeneration | 12.03 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD H3530 - Unspecified macular degeneration | 33.92 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD H3530 - Unspecified macular degeneration | 18.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 422,757 | ||||
Total Hospitalizations with ICD H3530 - Unspecified macular degeneration | 6,461 | ||||
DRG Share of Total Hospitalizations | 1.29 | ||||
% of Total ICD H3530 - Unspecified macular degeneration in DRG | 1.75 | ||||
Avg LOS at DRG | 4.14 | ||||
Avg LOS with ICD H3530 - Unspecified macular degeneration | 4.17 | ||||
Readmission Rate at DRG | 24.43 | ||||
Readmission Rate with ICD H3530 - Unspecified macular degeneration | 20.77 | ||||
Unplanned Readmission Rate at DRG | 18.48 | ||||
Unplanned Readmission Rate with ICD H3530 - Unspecified macular degeneration | 16.37 | ||||
Total Medicare payments at DRG | $2,636,135,714 | ||||
Total Medicare payments with ICD H3530 - Unspecified macular degeneration | $40,052,829 | ||||
Total Medicare payment per Day at DRG | $1,507 | ||||
Total Medicare payment per Day with ICD H3530 - Unspecified macular degeneration | $1,488 | ||||
Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
Total Medicare payment per Hospitalization with ICD H3530 - Unspecified macular degeneration | $6,199 | ||||
Total Medicare Charges at DRG | $11,980,955,733 | ||||
Total Medicare Charges with ICD H3530 - Unspecified macular degeneration | $173,207,297 | ||||
Avg Charges at DRG | $28,340 | ||||
Avg Charges with ICD H3530 - Unspecified macular degeneration | $26,808 | ||||
Mortality Rate at DRG | 1.01 | ||||
Mortality Rate with ICD H3530 - Unspecified macular degeneration | 1.13 | ||||
SNF Discharge Rate at DRG | 16.05 | ||||
SNF Discharge Rate with ICD H3530 - Unspecified macular degeneration | 22.91 | ||||
Home Discharge Rate at DRG | 47.18 | ||||
Home Discharge Rate with ICD H3530 - Unspecified macular degeneration | 33.83 |
*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 535,322 | ||||
Total Hospitalizations with ICD H3530 - Unspecified macular degeneration | 5,860 | ||||
DRG Share of Total Hospitalizations | 1.63 | ||||
% of Total ICD H3530 - Unspecified macular degeneration in DRG | 1.59 | ||||
Avg LOS at DRG | 4.68 | ||||
Avg LOS with ICD H3530 - Unspecified macular degeneration | 4.89 | ||||
Readmission Rate at DRG | 23.65 | ||||
Readmission Rate with ICD H3530 - Unspecified macular degeneration | 21.78 | ||||
Unplanned Readmission Rate at DRG | 18.66 | ||||
Unplanned Readmission Rate with ICD H3530 - Unspecified macular degeneration | 17.33 | ||||
Total Medicare payments at DRG | $3,844,806,408 | ||||
Total Medicare payments with ICD H3530 - Unspecified macular degeneration | $42,634,904 | ||||
Total Medicare payment per Day at DRG | $1,536 | ||||
Total Medicare payment per Day with ICD H3530 - Unspecified macular degeneration | $1,488 | ||||
Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
Total Medicare payment per Hospitalization with ICD H3530 - Unspecified macular degeneration | $7,276 | ||||
Total Medicare Charges at DRG | $19,258,468,078 | ||||
Total Medicare Charges with ICD H3530 - Unspecified macular degeneration | $206,613,272 | ||||
Avg Charges at DRG | $35,975 | ||||
Avg Charges with ICD H3530 - Unspecified macular degeneration | $35,258 | ||||
Mortality Rate at DRG | 1.27 | ||||
Mortality Rate with ICD H3530 - Unspecified macular degeneration | 1.91 | ||||
SNF Discharge Rate at DRG | 14.61 | ||||
SNF Discharge Rate with ICD H3530 - Unspecified macular degeneration | 23.28 | ||||
Home Discharge Rate at DRG | 52.12 | ||||
Home Discharge Rate with ICD H3530 - Unspecified macular degeneration | 36.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 434,264 | ||||
Total Hospitalizations with ICD H3530 - Unspecified macular degeneration | 4,901 | ||||
DRG Share of Total Hospitalizations | 1.32 | ||||
% of Total ICD H3530 - Unspecified macular degeneration in DRG | 1.33 | ||||
Avg LOS at DRG | 3.94 | ||||
Avg LOS with ICD H3530 - Unspecified macular degeneration | 3.86 | ||||
Readmission Rate at DRG | 22.76 | ||||
Readmission Rate with ICD H3530 - Unspecified macular degeneration | 20.55 | ||||
Unplanned Readmission Rate at DRG | 16.46 | ||||
Unplanned Readmission Rate with ICD H3530 - Unspecified macular degeneration | 15.85 | ||||
Total Medicare payments at DRG | $2,472,138,198 | ||||
Total Medicare payments with ICD H3530 - Unspecified macular degeneration | $26,991,869 | ||||
Total Medicare payment per Day at DRG | $1,444 | ||||
Total Medicare payment per Day with ICD H3530 - Unspecified macular degeneration | $1,426 | ||||
Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
Total Medicare payment per Hospitalization with ICD H3530 - Unspecified macular degeneration | $5,507 | ||||
Total Medicare Charges at DRG | $12,478,361,060 | ||||
Total Medicare Charges with ICD H3530 - Unspecified macular degeneration | $132,350,581 | ||||
Avg Charges at DRG | $28,735 | ||||
Avg Charges with ICD H3530 - Unspecified macular degeneration | $27,005 | ||||
Mortality Rate at DRG | 0.91 | ||||
Mortality Rate with ICD H3530 - Unspecified macular degeneration | 1.16 | ||||
SNF Discharge Rate at DRG | 22.02 | ||||
SNF Discharge Rate with ICD H3530 - Unspecified macular degeneration | 31.28 | ||||
Home Discharge Rate at DRG | 46.68 | ||||
Home Discharge Rate with ICD H3530 - Unspecified macular degeneration | 33.22 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 1,255 |
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 1,164 |
MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 1,098 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. RYAN THOMAS SWAN | 5715 E 2ND ST | CASPER | WY | 82609 | 68 |
Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 67 |
Dr. JAMAL ABDUL YASSER BALOUCH | 2001 RANDOLPH RD | CHARLOTTE | NC | 28207 | 57 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. RYAN THOMAS SWAN | 5715 E 2ND ST | CASPER | WY | 82609 | 131 |
Dr. BRADLEY S MERRITT | 3131 TROUP HWY | TYLER | TX | 75701 | 121 |
Dr. CHARLES LOUIS SPELLMAN | 300 2ND AVE | LONG BRANCH | NJ | 07740 | 91 |