*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Q02 - Microcephaly - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.95 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Q02 - Microcephaly | 612 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Q02 - Microcephaly in DRG | 18.14 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Q02 - Microcephaly | 7.18 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Q02 - Microcephaly | 22.69 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Q02 - Microcephaly | 19.19 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Q02 - Microcephaly | $7,595,328 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Q02 - Microcephaly | $1,728 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Q02 - Microcephaly | $12,411 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Q02 - Microcephaly | $34,710,127 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Q02 - Microcephaly | $56,716 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Q02 - Microcephaly | 6.86 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Q02 - Microcephaly | 14.71 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Q02 - Microcephaly | 42.65 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Q02 - Microcephaly | 82 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Q02 - Microcephaly in DRG | 2.43 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Q02 - Microcephaly | 4.62 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Q02 - Microcephaly | NA | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Q02 - Microcephaly | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Q02 - Microcephaly | $556,217 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Q02 - Microcephaly | $1,468 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Q02 - Microcephaly | $6,783 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Q02 - Microcephaly | $2,641,484 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Q02 - Microcephaly | $32,213 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Q02 - Microcephaly | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Q02 - Microcephaly | 13.41 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Q02 - Microcephaly | 62.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Q02 - Microcephaly | 56 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Q02 - Microcephaly in DRG | 1.66 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Q02 - Microcephaly | 3.77 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Q02 - Microcephaly | 20.75 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Q02 - Microcephaly | NA | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Q02 - Microcephaly | $250,852 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Q02 - Microcephaly | $1,189 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Q02 - Microcephaly | $4,480 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Q02 - Microcephaly | $1,344,800 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Q02 - Microcephaly | $24,014 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Q02 - Microcephaly | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Q02 - Microcephaly | NA | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Q02 - Microcephaly | 64.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,422 | ||||
| Total Hospitalizations with ICD Q02 - Microcephaly | 48 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD Q02 - Microcephaly in DRG | 1.42 | ||||
| Avg LOS at DRG | 4.97 | ||||
| Avg LOS with ICD Q02 - Microcephaly | 6.13 | ||||
| Readmission Rate at DRG | 26.98 | ||||
| Readmission Rate with ICD Q02 - Microcephaly | NA | ||||
| Unplanned Readmission Rate at DRG | 20.97 | ||||
| Unplanned Readmission Rate with ICD Q02 - Microcephaly | NA | ||||
| Total Medicare payments at DRG | $1,078,703,587 | ||||
| Total Medicare payments with ICD Q02 - Microcephaly | $390,762 | ||||
| Total Medicare payment per Day at DRG | $1,614 | ||||
| Total Medicare payment per Day with ICD Q02 - Microcephaly | $1,329 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,025 | ||||
| Total Medicare payment per Hospitalization with ICD Q02 - Microcephaly | $8,141 | ||||
| Total Medicare Charges at DRG | $5,564,930,414 | ||||
| Total Medicare Charges with ICD Q02 - Microcephaly | $1,785,012 | ||||
| Avg Charges at DRG | $41,399 | ||||
| Avg Charges with ICD Q02 - Microcephaly | $37,188 | ||||
| Mortality Rate at DRG | 2.08 | ||||
| Mortality Rate with ICD Q02 - Microcephaly | NA | ||||
| SNF Discharge Rate at DRG | 16.97 | ||||
| SNF Discharge Rate with ICD Q02 - Microcephaly | NA | ||||
| Home Discharge Rate at DRG | 52.45 | ||||
| Home Discharge Rate with ICD Q02 - Microcephaly | 43.75 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UW HEALTH UNIVERSITY HOSPITAL | 600 HIGHLAND AVE | MADISON | WI | 53792 | 37 |
| WOODLAND HEIGHTS MEDICAL CENTER | 505 S JOHN REDDITT DR | LUFKIN | TX | 75904 | 27 |
| NEW YORK - PRESBYTERIAN/QUEENS | 56-45 MAIN STREET | NEW YORK | NY | 11355 | 24 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SEBASTIAN PAUL AVOLESE | 7309 MYRTLE AVE | GLENDALE | NY | 11385 | 21 |
| Dr. TODD A GEPHART | 1141 EAST MAIN STREET | EAST DUNDEE | IL | 60118 | 16 |
| Dr. VIJAY GANATRA | 13770 PLANTATION RD | FORT MYERS | FL | 33912 | 13 |