*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| H538 - Other visual disturbances - as a primary diagnosis code | H538 - Other visual disturbances - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.05 | |
| Readmission Rate (%) | 22.73 | |
| Unplanned Readmission Rate (%) | 8.56 | |
| 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 124: OTHER DISORDERS OF THE EYE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 115: EXTRAOCULAR PROCEDURES EXCEPT ORBIT | |
|---|---|---|---|
| Total Hospitalizations at DRG | 11,033 | ||
| Total Hospitalizations with ICD H538 - Other visual disturbances | 803 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD H538 - Other visual disturbances in DRG | 85.61 | ||
| Avg LOS at DRG | 3.12 | ||
| Avg LOS with ICD H538 - Other visual disturbances | 1.92 | ||
| Readmission Rate at DRG | 14.43 | ||
| Readmission Rate with ICD H538 - Other visual disturbances | 10.28 | ||
| Unplanned Readmission Rate at DRG | 9.53 | ||
| Unplanned Readmission Rate with ICD H538 - Other visual disturbances | 7.08 | ||
| Total Medicare payments at DRG | $51,804,064 | ||
| Total Medicare payments with ICD H538 - Other visual disturbances | $3,074,709 | ||
| Total Medicare payment per Day at DRG | $1,505 | ||
| Total Medicare payment per Day with ICD H538 - Other visual disturbances | $1,991 | ||
| Total Medicare payment per Hospitalization at DRG | $4,695 | ||
| Total Medicare payment per Hospitalization with ICD H538 - Other visual disturbances | $3,829 | ||
| Total Medicare Charges at DRG | $301,182,636 | ||
| Total Medicare Charges with ICD H538 - Other visual disturbances | $20,599,455 | ||
| Avg Charges at DRG | $27,298 | ||
| Avg Charges with ICD H538 - Other visual disturbances | $25,653 | ||
| Mortality Rate at DRG | 0.11 | ||
| Mortality Rate with ICD H538 - Other visual disturbances | NA | ||
| SNF Discharge Rate at DRG | 17.96 | ||
| SNF Discharge Rate with ICD H538 - Other visual disturbances | 6.48 | ||
| Home Discharge Rate at DRG | 57.38 | ||
| Home Discharge Rate with ICD H538 - Other visual disturbances | 75.59 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 11 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 066: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 069: TRANSIENT ISCHEMIA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD H538 - Other visual disturbances | 5,675 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD H538 - Other visual disturbances in DRG | 9.03 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD H538 - Other visual disturbances | 3.51 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD H538 - Other visual disturbances | 31.88 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD H538 - Other visual disturbances | 7.92 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD H538 - Other visual disturbances | $36,310,655 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD H538 - Other visual disturbances | $1,824 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD H538 - Other visual disturbances | $6,398 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD H538 - Other visual disturbances | $196,510,629 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD H538 - Other visual disturbances | $34,627 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD H538 - Other visual disturbances | 0.58 | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD H538 - Other visual disturbances | 15.45 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD H538 - Other visual disturbances | 39.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 125: OTHER DISORDERS OF THE EYE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 305: HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 103: HEADACHES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,281 | ||||
| Total Hospitalizations with ICD H538 - Other visual disturbances | 1,051 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD H538 - Other visual disturbances in DRG | 1.67 | ||||
| Avg LOS at DRG | 12.68 | ||||
| Avg LOS with ICD H538 - Other visual disturbances | 14.03 | ||||
| Readmission Rate at DRG | 21.82 | ||||
| Readmission Rate with ICD H538 - Other visual disturbances | 17.88 | ||||
| Unplanned Readmission Rate at DRG | 14.27 | ||||
| Unplanned Readmission Rate with ICD H538 - Other visual disturbances | 13.33 | ||||
| Total Medicare payments at DRG | $1,907,954,923 | ||||
| Total Medicare payments with ICD H538 - Other visual disturbances | $22,799,408 | ||||
| Total Medicare payment per Day at DRG | $1,501 | ||||
| Total Medicare payment per Day with ICD H538 - Other visual disturbances | $1,546 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,026 | ||||
| Total Medicare payment per Hospitalization with ICD H538 - Other visual disturbances | $21,693 | ||||
| Total Medicare Charges at DRG | $5,940,453,690 | ||||
| Total Medicare Charges with ICD H538 - Other visual disturbances | $64,129,757 | ||||
| Avg Charges at DRG | $59,238 | ||||
| Avg Charges with ICD H538 - Other visual disturbances | $61,018 | ||||
| Mortality Rate at DRG | 2.33 | ||||
| Mortality Rate with ICD H538 - Other visual disturbances | NA | ||||
| SNF Discharge Rate at DRG | 30.7 | ||||
| SNF Discharge Rate with ICD H538 - Other visual disturbances | 24.83 | ||||
| Home Discharge Rate at DRG | 16.5 | ||||
| Home Discharge Rate with ICD H538 - Other visual disturbances | 23.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 312: SYNCOPE AND COLLAPSE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD H538 - Other visual disturbances | 867 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD H538 - Other visual disturbances in DRG | 1.38 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD H538 - Other visual disturbances | 17.14 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD H538 - Other visual disturbances | 21.55 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD H538 - Other visual disturbances | 10.96 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD H538 - Other visual disturbances | $10,780,053 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD H538 - Other visual disturbances | $725 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD H538 - Other visual disturbances | $12,434 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD H538 - Other visual disturbances | $40,053,622 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD H538 - Other visual disturbances | $46,198 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD H538 - Other visual disturbances | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD H538 - Other visual disturbances | 4.15 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD H538 - Other visual disturbances | 76.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 149: DYSEQUILIBRIUM | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD H538 - Other visual disturbances | 689 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD H538 - Other visual disturbances in DRG | 1.1 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD H538 - Other visual disturbances | 6.16 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD H538 - Other visual disturbances | 19.1 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD H538 - Other visual disturbances | 12.11 | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD H538 - Other visual disturbances | $6,742,375 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD H538 - Other visual disturbances | $1,589 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD H538 - Other visual disturbances | $9,786 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD H538 - Other visual disturbances | $24,604,516 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD H538 - Other visual disturbances | $35,710 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD H538 - Other visual disturbances | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD H538 - Other visual disturbances | 11.76 | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD H538 - Other visual disturbances | 49.35 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 297 |
| MERCY REHABILITATION HOSPITAL SPRINGFIELD | 5904 S. SOUTHWOOD ROAD | SPRINGFIELD | MO | 65804 | 256 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 233 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALBERTO LIN | 8600 SKYLINE DR | DALLAS | TX | 75243 | 41 |
| Dr. ANTHONY DECOTIS | 131 BEAL PKWY NW | FORT WALTON BEACH | FL | 32548 | 31 |
| Dr. EDUARDO GALANG ACOSTA | 375 MUNICIPAL DR | RICHARDSON | TX | 75080 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KUSAI A UMRAN | 600 N MAIN ST | MOUNT VERNON | MO | 65712 | 172 |
| Dr. DEREK S SCOTT | 2727 S. PENNSYLVANIA AVE | LANSING | MI | 48910 | 90 |
| Dr. LUCINDA TRIPPE MYERS | 3000 HERRING AVE | WACO | TX | 76708 | 56 |