*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| H5462 - Unqualified visual loss, left eye, normal vision right eye - as a primary diagnosis code | H5462 - Unqualified visual loss, left eye, normal vision right eye - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.83 | |
| Readmission Rate (%) | 24.17 | |
| Unplanned Readmission Rate (%) | 11.22 | |
| 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 H5462 - Unqualified visual loss, left eye, normal vision right eye | 159 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD H5462 - Unqualified visual loss, left eye, normal vision right eye in DRG | 73.61 | ||
| Avg LOS at DRG | 3.12 | ||
| Avg LOS with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 2.18 | ||
| Readmission Rate at DRG | 14.43 | ||
| Readmission Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 10.0 | ||
| Unplanned Readmission Rate at DRG | 9.53 | ||
| Unplanned Readmission Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 8.0 | ||
| Total Medicare payments at DRG | $51,804,064 | ||
| Total Medicare payments with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $615,697 | ||
| Total Medicare payment per Day at DRG | $1,505 | ||
| Total Medicare payment per Day with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $1,774 | ||
| Total Medicare payment per Hospitalization at DRG | $4,695 | ||
| Total Medicare payment per Hospitalization with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $3,872 | ||
| Total Medicare Charges at DRG | $301,182,636 | ||
| Total Medicare Charges with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $4,675,692 | ||
| Avg Charges at DRG | $27,298 | ||
| Avg Charges with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $29,407 | ||
| Mortality Rate at DRG | 0.11 | ||
| Mortality Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | NA | ||
| SNF Discharge Rate at DRG | 17.96 | ||
| SNF Discharge Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 8.18 | ||
| Home Discharge Rate at DRG | 57.38 | ||
| Home Discharge Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 74.21 |
*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 H5462 - Unqualified visual loss, left eye, normal vision right eye | 1,276 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD H5462 - Unqualified visual loss, left eye, normal vision right eye in DRG | 4.75 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 6.39 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 24.77 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 17.64 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $15,377,939 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $1,885 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $12,052 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $74,634,456 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $58,491 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 9.17 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 30.41 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 23.51 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 482 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD H5462 - Unqualified visual loss, left eye, normal vision right eye in DRG | 1.79 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 13.57 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 31.07 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 16.1 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $4,590,737 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $702 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $9,524 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $17,864,263 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $37,063 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 9.34 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 71.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 069: TRANSIENT ISCHEMIA | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,368 | ||||
| Total Hospitalizations with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 335 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD H5462 - Unqualified visual loss, left eye, normal vision right eye in DRG | 1.25 | ||||
| Avg LOS at DRG | 2.45 | ||||
| Avg LOS with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 2.5 | ||||
| Readmission Rate at DRG | 13.87 | ||||
| Readmission Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 13.33 | ||||
| Unplanned Readmission Rate at DRG | 8.53 | ||||
| Unplanned Readmission Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 7.62 | ||||
| Total Medicare payments at DRG | $659,839,038 | ||||
| Total Medicare payments with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $1,402,552 | ||||
| Total Medicare payment per Day at DRG | $1,681 | ||||
| Total Medicare payment per Day with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $1,678 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,115 | ||||
| Total Medicare payment per Hospitalization with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $4,187 | ||||
| Total Medicare Charges at DRG | $4,799,766,979 | ||||
| Total Medicare Charges with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $10,630,421 | ||||
| Avg Charges at DRG | $29,930 | ||||
| Avg Charges with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $31,733 | ||||
| Mortality Rate at DRG | 0.16 | ||||
| Mortality Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | NA | ||||
| SNF Discharge Rate at DRG | 13.4 | ||||
| SNF Discharge Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 11.64 | ||||
| Home Discharge Rate at DRG | 60.91 | ||||
| Home Discharge Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 64.78 |
*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 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,033 | ||||
| Total Hospitalizations with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 275 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD H5462 - Unqualified visual loss, left eye, normal vision right eye in DRG | 1.02 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 2.59 | ||||
| Readmission Rate at DRG | 14.43 | ||||
| Readmission Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 12.4 | ||||
| Unplanned Readmission Rate at DRG | 9.53 | ||||
| Unplanned Readmission Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 9.69 | ||||
| Total Medicare payments at DRG | $51,804,064 | ||||
| Total Medicare payments with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $1,169,048 | ||||
| Total Medicare payment per Day at DRG | $1,505 | ||||
| Total Medicare payment per Day with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $1,644 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,695 | ||||
| Total Medicare payment per Hospitalization with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $4,251 | ||||
| Total Medicare Charges at DRG | $301,182,636 | ||||
| Total Medicare Charges with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $8,336,134 | ||||
| Avg Charges at DRG | $27,298 | ||||
| Avg Charges with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | $30,313 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | NA | ||||
| SNF Discharge Rate at DRG | 17.96 | ||||
| SNF Discharge Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 12.73 | ||||
| Home Discharge Rate at DRG | 57.38 | ||||
| Home Discharge Rate with ICD H5462 - Unqualified visual loss, left eye, normal vision right eye | 67.64 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 139 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 112 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 92 |
| 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 | 14 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 11 |
| 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 | 16 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 14 |
| Dr. RAJAT PRAKASH | 3050 COMMERCE DR | FORT GRATIOT | MI | 48059 | 13 |