*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| H543 - Unqualified visual loss, both eyes - as a primary diagnosis code | H543 - Unqualified visual loss, both eyes - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.38 | |
| Readmission Rate (%) | 24.36 | |
| Unplanned Readmission Rate (%) | 12.8 | |
| 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 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 H543 - Unqualified visual loss, both eyes | 99 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD H543 - Unqualified visual loss, both eyes in DRG | 69.72 | ||
| Avg LOS at DRG | 3.12 | ||
| Avg LOS with ICD H543 - Unqualified visual loss, both eyes | 2.79 | ||
| Readmission Rate at DRG | 14.43 | ||
| Readmission Rate with ICD H543 - Unqualified visual loss, both eyes | 14.77 | ||
| Unplanned Readmission Rate at DRG | 9.53 | ||
| Unplanned Readmission Rate with ICD H543 - Unqualified visual loss, both eyes | NA | ||
| Total Medicare payments at DRG | $51,804,064 | ||
| Total Medicare payments with ICD H543 - Unqualified visual loss, both eyes | $453,674 | ||
| Total Medicare payment per Day at DRG | $1,505 | ||
| Total Medicare payment per Day with ICD H543 - Unqualified visual loss, both eyes | $1,644 | ||
| Total Medicare payment per Hospitalization at DRG | $4,695 | ||
| Total Medicare payment per Hospitalization with ICD H543 - Unqualified visual loss, both eyes | $4,583 | ||
| Total Medicare Charges at DRG | $301,182,636 | ||
| Total Medicare Charges with ICD H543 - Unqualified visual loss, both eyes | $2,645,394 | ||
| Avg Charges at DRG | $27,298 | ||
| Avg Charges with ICD H543 - Unqualified visual loss, both eyes | $26,721 | ||
| Mortality Rate at DRG | 0.11 | ||
| Mortality Rate with ICD H543 - Unqualified visual loss, both eyes | NA | ||
| SNF Discharge Rate at DRG | 17.96 | ||
| SNF Discharge Rate with ICD H543 - Unqualified visual loss, both eyes | 11.11 | ||
| Home Discharge Rate at DRG | 57.38 | ||
| Home Discharge Rate with ICD H543 - Unqualified visual loss, both eyes | 56.57 |
*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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD H543 - Unqualified visual loss, both eyes | 429 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD H543 - Unqualified visual loss, both eyes in DRG | 5.44 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD H543 - Unqualified visual loss, both eyes | 6.56 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD H543 - Unqualified visual loss, both eyes | 27.75 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD H543 - Unqualified visual loss, both eyes | 21.97 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD H543 - Unqualified visual loss, both eyes | $5,583,757 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD H543 - Unqualified visual loss, both eyes | $1,985 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD H543 - Unqualified visual loss, both eyes | $13,016 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD H543 - Unqualified visual loss, both eyes | $25,802,445 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD H543 - Unqualified visual loss, both eyes | $60,146 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD H543 - Unqualified visual loss, both eyes | 9.79 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD H543 - Unqualified visual loss, both eyes | 25.41 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD H543 - Unqualified visual loss, both eyes | 24.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 125: OTHER DISORDERS OF THE EYE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 066: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT 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) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,033 | ||||
| Total Hospitalizations with ICD H543 - Unqualified visual loss, both eyes | 145 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD H543 - Unqualified visual loss, both eyes in DRG | 1.84 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD H543 - Unqualified visual loss, both eyes | 3.41 | ||||
| Readmission Rate at DRG | 14.43 | ||||
| Readmission Rate with ICD H543 - Unqualified visual loss, both eyes | 13.95 | ||||
| Unplanned Readmission Rate at DRG | 9.53 | ||||
| Unplanned Readmission Rate with ICD H543 - Unqualified visual loss, both eyes | 10.08 | ||||
| Total Medicare payments at DRG | $51,804,064 | ||||
| Total Medicare payments with ICD H543 - Unqualified visual loss, both eyes | $735,131 | ||||
| Total Medicare payment per Day at DRG | $1,505 | ||||
| Total Medicare payment per Day with ICD H543 - Unqualified visual loss, both eyes | $1,485 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,695 | ||||
| Total Medicare payment per Hospitalization with ICD H543 - Unqualified visual loss, both eyes | $5,070 | ||||
| Total Medicare Charges at DRG | $301,182,636 | ||||
| Total Medicare Charges with ICD H543 - Unqualified visual loss, both eyes | $4,322,421 | ||||
| Avg Charges at DRG | $27,298 | ||||
| Avg Charges with ICD H543 - Unqualified visual loss, both eyes | $29,810 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD H543 - Unqualified visual loss, both eyes | NA | ||||
| SNF Discharge Rate at DRG | 17.96 | ||||
| SNF Discharge Rate with ICD H543 - Unqualified visual loss, both eyes | 16.55 | ||||
| Home Discharge Rate at DRG | 57.38 | ||||
| Home Discharge Rate with ICD H543 - Unqualified visual loss, both eyes | 53.1 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD H543 - Unqualified visual loss, both eyes | 99 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD H543 - Unqualified visual loss, both eyes in DRG | 1.26 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD H543 - Unqualified visual loss, both eyes | 3.56 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD H543 - Unqualified visual loss, both eyes | 15.73 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD H543 - Unqualified visual loss, both eyes | 12.36 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD H543 - Unqualified visual loss, both eyes | $550,610 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD H543 - Unqualified visual loss, both eyes | $1,564 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD H543 - Unqualified visual loss, both eyes | $5,562 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD H543 - Unqualified visual loss, both eyes | $2,359,314 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD H543 - Unqualified visual loss, both eyes | $23,831 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD H543 - Unqualified visual loss, both eyes | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD H543 - Unqualified visual loss, both eyes | 29.29 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD H543 - Unqualified visual loss, both eyes | 39.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD H543 - Unqualified visual loss, both eyes | 84 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD H543 - Unqualified visual loss, both eyes in DRG | 1.06 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD H543 - Unqualified visual loss, both eyes | 5.06 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD H543 - Unqualified visual loss, both eyes | 34.72 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD H543 - Unqualified visual loss, both eyes | 23.61 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD H543 - Unqualified visual loss, both eyes | $977,938 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD H543 - Unqualified visual loss, both eyes | $2,301 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD H543 - Unqualified visual loss, both eyes | $11,642 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD H543 - Unqualified visual loss, both eyes | $3,713,716 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD H543 - Unqualified visual loss, both eyes | $44,211 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD H543 - Unqualified visual loss, both eyes | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD H543 - Unqualified visual loss, both eyes | 27.38 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD H543 - Unqualified visual loss, both eyes | 34.52 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PROMEDICA MONROE REGIONAL HOSPITAL | 718 N MACOMB ST | MONROE | MI | 48162 | 44 |
| RUSH UNIVERSITY MEDICAL CENTER | 1653 W CONGRESS PKWY | CHICAGO | IL | 60612 | 33 |
| TEXOMA MEDICAL CENTER | 5016 S US HIGHWAY 75 | DENISON | TX | 75020 | 32 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DEBORAH R FISHER | 220 E EVERGREEN ST | SHERMAN | TX | 75090 | 20 |
| Dr. DAVID L HARRISON | 1203 JEFFERSON ST | LAUREL | MS | 39440 | 12 |
| Dr. JOHN R. RUSSELL | 2918 LOUIS SESSIONS STREET | LAKE VILLAGE | AR | 71653 | 12 |