*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| H548 - Legal blindness, as defined in USA - as a primary diagnosis code | H548 - Legal blindness, as defined in USA - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.19 | |
| Readmission Rate (%) | 24.86 | |
| Unplanned Readmission Rate (%) | NA | |
| 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) | |
|---|---|
| Total Hospitalizations at DRG | 11,033 |
| Total Hospitalizations with ICD H548 - Legal blindness, as defined in USA | 15 |
| DRG Share of Total Hospitalizations | 0.03 |
| % of Total ICD H548 - Legal blindness, as defined in USA in DRG | 75.0 |
| Avg LOS at DRG | 3.12 |
| Avg LOS with ICD H548 - Legal blindness, as defined in USA | 4.33 |
| Readmission Rate at DRG | 14.43 |
| Readmission Rate with ICD H548 - Legal blindness, as defined in USA | NA |
| Unplanned Readmission Rate at DRG | 9.53 |
| Unplanned Readmission Rate with ICD H548 - Legal blindness, as defined in USA | NA |
| Total Medicare payments at DRG | $51,804,064 |
| Total Medicare payments with ICD H548 - Legal blindness, as defined in USA | $98,176 |
| Total Medicare payment per Day at DRG | $1,505 |
| Total Medicare payment per Day with ICD H548 - Legal blindness, as defined in USA | $1,510 |
| Total Medicare payment per Hospitalization at DRG | $4,695 |
| Total Medicare payment per Hospitalization with ICD H548 - Legal blindness, as defined in USA | $6,545 |
| Total Medicare Charges at DRG | $301,182,636 |
| Total Medicare Charges with ICD H548 - Legal blindness, as defined in USA | $258,329 |
| Avg Charges at DRG | $27,298 |
| Avg Charges with ICD H548 - Legal blindness, as defined in USA | $17,222 |
| Mortality Rate at DRG | 0.11 |
| Mortality Rate with ICD H548 - Legal blindness, as defined in USA | NA |
| SNF Discharge Rate at DRG | 17.96 |
| SNF Discharge Rate with ICD H548 - Legal blindness, as defined in USA | NA |
| Home Discharge Rate at DRG | 57.38 |
| Home Discharge Rate with ICD H548 - Legal blindness, as defined in USA | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD H548 - Legal blindness, as defined in USA | 10,233 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD H548 - Legal blindness, as defined in USA in DRG | 6.54 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD H548 - Legal blindness, as defined in USA | 6.54 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD H548 - Legal blindness, as defined in USA | 24.25 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD H548 - Legal blindness, as defined in USA | 18.24 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD H548 - Legal blindness, as defined in USA | $122,611,859 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD H548 - Legal blindness, as defined in USA | $1,831 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD H548 - Legal blindness, as defined in USA | $11,982 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD H548 - Legal blindness, as defined in USA | $578,345,876 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD H548 - Legal blindness, as defined in USA | $56,518 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD H548 - Legal blindness, as defined in USA | 10.8 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD H548 - Legal blindness, as defined in USA | 32.13 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD H548 - Legal blindness, as defined in USA | 21.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY 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 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD H548 - Legal blindness, as defined in USA | 2,625 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD H548 - Legal blindness, as defined in USA in DRG | 1.68 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD H548 - Legal blindness, as defined in USA | 5.51 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD H548 - Legal blindness, as defined in USA | 21.61 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD H548 - Legal blindness, as defined in USA | 17.18 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD H548 - Legal blindness, as defined in USA | $23,251,100 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD H548 - Legal blindness, as defined in USA | $1,608 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD H548 - Legal blindness, as defined in USA | $8,858 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD H548 - Legal blindness, as defined in USA | $110,673,496 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD H548 - Legal blindness, as defined in USA | $42,161 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD H548 - Legal blindness, as defined in USA | 2.93 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD H548 - Legal blindness, as defined in USA | 29.22 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD H548 - Legal blindness, as defined in USA | 31.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD H548 - Legal blindness, as defined in USA | 2,082 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD H548 - Legal blindness, as defined in USA in DRG | 1.33 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD H548 - Legal blindness, as defined in USA | 6.88 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD H548 - Legal blindness, as defined in USA | 28.45 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD H548 - Legal blindness, as defined in USA | 22.87 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD H548 - Legal blindness, as defined in USA | $22,160,455 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD H548 - Legal blindness, as defined in USA | $1,548 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD H548 - Legal blindness, as defined in USA | $10,644 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD H548 - Legal blindness, as defined in USA | $104,666,995 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD H548 - Legal blindness, as defined in USA | $50,272 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD H548 - Legal blindness, as defined in USA | 6.0 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD H548 - Legal blindness, as defined in USA | 27.14 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD H548 - Legal blindness, as defined in USA | 27.43 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD H548 - Legal blindness, as defined in USA | 1,912 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD H548 - Legal blindness, as defined in USA in DRG | 1.22 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD H548 - Legal blindness, as defined in USA | 12.75 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD H548 - Legal blindness, as defined in USA | 15.27 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD H548 - Legal blindness, as defined in USA | 11.09 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD H548 - Legal blindness, as defined in USA | $33,290,935 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD H548 - Legal blindness, as defined in USA | $1,365 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD H548 - Legal blindness, as defined in USA | $17,412 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD H548 - Legal blindness, as defined in USA | $82,473,600 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD H548 - Legal blindness, as defined in USA | $43,135 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD H548 - Legal blindness, as defined in USA | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD H548 - Legal blindness, as defined in USA | 31.85 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD H548 - Legal blindness, as defined in USA | 18.2 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 689 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 592 |
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 475 |
| 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 | 56 |
| Dr. SHREEKANT CHOPRA | 830 OAK ST | BROCKTON | MA | 02301 | 26 |
| Dr. OLADAYO A SANUSI | 1901 PEASE ST | HARLINGEN | TX | 78550 | 24 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 62 |
| Dr. BAQIR M SYED | 1926 10TH AVE N | LAKE WORTH | FL | 33461 | 62 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 59 |