*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| H5461 - Unqualified visual loss, right eye, normal vision left eye - as a primary diagnosis code | H5461 - Unqualified visual loss, right eye, normal vision left eye - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.74 | |
| Readmission Rate (%) | 23.34 | |
| Unplanned Readmission Rate (%) | 8.46 | |
| 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 115: EXTRAOCULAR PROCEDURES EXCEPT ORBIT | DRG 124: OTHER DISORDERS OF THE EYE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 11,033 | ||
| Total Hospitalizations with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 152 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD H5461 - Unqualified visual loss, right eye, normal vision left eye in DRG | 67.56 | ||
| Avg LOS at DRG | 3.12 | ||
| Avg LOS with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 2.0 | ||
| Readmission Rate at DRG | 14.43 | ||
| Readmission Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 8.89 | ||
| Unplanned Readmission Rate at DRG | 9.53 | ||
| Unplanned Readmission Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | NA | ||
| Total Medicare payments at DRG | $51,804,064 | ||
| Total Medicare payments with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $643,725 | ||
| Total Medicare payment per Day at DRG | $1,505 | ||
| Total Medicare payment per Day with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $2,118 | ||
| Total Medicare payment per Hospitalization at DRG | $4,695 | ||
| Total Medicare payment per Hospitalization with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $4,235 | ||
| Total Medicare Charges at DRG | $301,182,636 | ||
| Total Medicare Charges with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $4,114,605 | ||
| Avg Charges at DRG | $27,298 | ||
| Avg Charges with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $27,070 | ||
| Mortality Rate at DRG | 0.11 | ||
| Mortality Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | NA | ||
| SNF Discharge Rate at DRG | 17.96 | ||
| SNF Discharge Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | NA | ||
| Home Discharge Rate at DRG | 57.38 | ||
| Home Discharge Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 71.05 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 1,240 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD H5461 - Unqualified visual loss, right eye, normal vision left eye in DRG | 4.71 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 6.25 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 25.68 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 18.05 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $14,594,433 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $1,882 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $11,770 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $74,337,899 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $59,950 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 8.95 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 30.48 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 24.76 |
*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 066: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 069: TRANSIENT ISCHEMIA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 521 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD H5461 - Unqualified visual loss, right eye, normal vision left eye in DRG | 1.98 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 2.9 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 12.07 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 4.5 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $6,410,112 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $4,239 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $12,303 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $30,935,640 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $59,377 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 32.44 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 24.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 125: OTHER DISORDERS OF THE EYE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 323 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD H5461 - Unqualified visual loss, right eye, normal vision left eye in DRG | 1.23 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 5.51 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 31.75 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 25.91 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $3,198,978 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $1,798 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $9,904 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $14,502,980 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $44,901 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 5.57 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 29.1 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 31.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 123: NEUROLOGICAL EYE DISORDERS | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 266 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD H5461 - Unqualified visual loss, right eye, normal vision left eye in DRG | 1.01 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 4.07 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 14.94 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 13.69 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $1,437,412 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $1,327 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $5,404 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $7,826,067 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | $29,421 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 26.32 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD H5461 - Unqualified visual loss, right eye, normal vision left eye | 43.61 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 100 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 99 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 96 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 23 |
| Dr. KEVIN BERNSTEIN | 7010 SMOKE RANCH RD STE 120 | LAS VEGAS | NV | 89128 | 12 |
| Dr. C. DEAN MILNE | 2010 GOLDRING AVE. | LAS VEGAS | NV | 89106 | 11 |