*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| H36 - Retinal disorders in diseases classified elsewhere - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 31.8 | |
| 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 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 975: HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD H36 - Retinal disorders in diseases classified elsewhere | 479 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD H36 - Retinal disorders in diseases classified elsewhere in DRG | 55.44 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD H36 - Retinal disorders in diseases classified elsewhere | 5.5 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD H36 - Retinal disorders in diseases classified elsewhere | 43.78 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD H36 - Retinal disorders in diseases classified elsewhere | 38.0 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD H36 - Retinal disorders in diseases classified elsewhere | $4,006,392 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD H36 - Retinal disorders in diseases classified elsewhere | $1,520 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD H36 - Retinal disorders in diseases classified elsewhere | $8,364 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD H36 - Retinal disorders in diseases classified elsewhere | $14,454,049 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD H36 - Retinal disorders in diseases classified elsewhere | $30,175 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD H36 - Retinal disorders in diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD H36 - Retinal disorders in diseases classified elsewhere | NA | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD H36 - Retinal disorders in diseases classified elsewhere | 92.07 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 443,386 |
| Total Hospitalizations with ICD H36 - Retinal disorders in diseases classified elsewhere | 12 |
| DRG Share of Total Hospitalizations | 1.35 |
| % of Total ICD H36 - Retinal disorders in diseases classified elsewhere in DRG | 1.39 |
| Avg LOS at DRG | 5.27 |
| Avg LOS with ICD H36 - Retinal disorders in diseases classified elsewhere | 5.75 |
| Readmission Rate at DRG | 21.6 |
| Readmission Rate with ICD H36 - Retinal disorders in diseases classified elsewhere | NA |
| Unplanned Readmission Rate at DRG | 15.91 |
| Unplanned Readmission Rate with ICD H36 - Retinal disorders in diseases classified elsewhere | NA |
| Total Medicare payments at DRG | $3,812,834,208 |
| Total Medicare payments with ICD H36 - Retinal disorders in diseases classified elsewhere | $134,831 |
| Total Medicare payment per Day at DRG | $1,632 |
| Total Medicare payment per Day with ICD H36 - Retinal disorders in diseases classified elsewhere | $1,954 |
| Total Medicare payment per Hospitalization at DRG | $8,599 |
| Total Medicare payment per Hospitalization with ICD H36 - Retinal disorders in diseases classified elsewhere | $11,236 |
| Total Medicare Charges at DRG | $18,110,468,211 |
| Total Medicare Charges with ICD H36 - Retinal disorders in diseases classified elsewhere | $352,711 |
| Avg Charges at DRG | $40,846 |
| Avg Charges with ICD H36 - Retinal disorders in diseases classified elsewhere | $29,393 |
| Mortality Rate at DRG | 3.59 |
| Mortality Rate with ICD H36 - Retinal disorders in diseases classified elsewhere | NA |
| SNF Discharge Rate at DRG | 22.57 |
| SNF Discharge Rate with ICD H36 - Retinal disorders in diseases classified elsewhere | NA |
| Home Discharge Rate at DRG | 40.95 |
| Home Discharge Rate with ICD H36 - Retinal disorders in diseases classified elsewhere | NA |
| 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 | 68 |
| UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM | 1740 W TAYLOR ST | CHICAGO | IL | 60612 | 55 |
| BOSTON MEDICAL CENTER | 88 EAST NEWTON STREET | BOSTON | MA | 02118 | 51 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SHIVI JAIN | 1901 W HARRISON STREET | CHICAGO | IL | 60612 | 31 |
| Dr. JASON A RAMIREZ | 1921 SPRING RD | CARLISLE | PA | 17013 | 14 |
| Dr. MICHEL GOWHARI | 1740 W TAYLOR ST | CHICAGO | IL | 60612 | 14 |