*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| H40053 - Ocular hypertension, bilateral - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 10.15 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD H40053 - Ocular hypertension, bilateral | 115 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD H40053 - Ocular hypertension, bilateral in DRG | 11.49 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD H40053 - Ocular hypertension, bilateral | 2.56 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD H40053 - Ocular hypertension, bilateral | NA | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD H40053 - Ocular hypertension, bilateral | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD H40053 - Ocular hypertension, bilateral | $1,648,950 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD H40053 - Ocular hypertension, bilateral | $5,609 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD H40053 - Ocular hypertension, bilateral | $14,339 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD H40053 - Ocular hypertension, bilateral | $6,452,745 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD H40053 - Ocular hypertension, bilateral | $56,111 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD H40053 - Ocular hypertension, bilateral | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD H40053 - Ocular hypertension, bilateral | 20.0 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD H40053 - Ocular hypertension, bilateral | 26.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 125: OTHER DISORDERS OF THE EYE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD H40053 - Ocular hypertension, bilateral | 15 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD H40053 - Ocular hypertension, bilateral in DRG | 1.5 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD H40053 - Ocular hypertension, bilateral | 12.13 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD H40053 - Ocular hypertension, bilateral | NA | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD H40053 - Ocular hypertension, bilateral | NA | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD H40053 - Ocular hypertension, bilateral | $242,375 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD H40053 - Ocular hypertension, bilateral | $1,332 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD H40053 - Ocular hypertension, bilateral | $16,158 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD H40053 - Ocular hypertension, bilateral | $623,685 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD H40053 - Ocular hypertension, bilateral | $41,579 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD H40053 - Ocular hypertension, bilateral | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD H40053 - Ocular hypertension, bilateral | NA | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD H40053 - Ocular hypertension, bilateral | NA |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD H40053 - Ocular hypertension, bilateral | 11 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD H40053 - Ocular hypertension, bilateral in DRG | 1.1 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD H40053 - Ocular hypertension, bilateral | 3.09 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD H40053 - Ocular hypertension, bilateral | NA | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD H40053 - Ocular hypertension, bilateral | NA | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD H40053 - Ocular hypertension, bilateral | $82,038 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD H40053 - Ocular hypertension, bilateral | $2,413 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD H40053 - Ocular hypertension, bilateral | $7,458 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD H40053 - Ocular hypertension, bilateral | $291,816 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD H40053 - Ocular hypertension, bilateral | $26,529 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD H40053 - Ocular hypertension, bilateral | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD H40053 - Ocular hypertension, bilateral | NA | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD H40053 - Ocular hypertension, bilateral | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 34 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 31 |
| MEDSTAR FRANKLIN SQUARE MEDICAL CENTER | 9000 FRANKLIN SQUARE DR | BALTIMORE | MD | 21237 | 27 |