*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Q909 - Down syndrome, unspecified - as a primary diagnosis code | Q909 - Down syndrome, unspecified - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 6.92 | |
Readmission Rate (%) | 21.37 | |
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 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
---|---|
Total Hospitalizations at DRG | 144,507 |
Total Hospitalizations with ICD Q909 - Down syndrome, unspecified | 74 |
DRG Share of Total Hospitalizations | 0.44 |
% of Total ICD Q909 - Down syndrome, unspecified in DRG | 98.67 |
Avg LOS at DRG | 11.23 |
Avg LOS with ICD Q909 - Down syndrome, unspecified | 14.61 |
Readmission Rate at DRG | 20.52 |
Readmission Rate with ICD Q909 - Down syndrome, unspecified | NA |
Unplanned Readmission Rate at DRG | 12.21 |
Unplanned Readmission Rate with ICD Q909 - Down syndrome, unspecified | NA |
Total Medicare payments at DRG | $1,495,371,248 |
Total Medicare payments with ICD Q909 - Down syndrome, unspecified | $895,952 |
Total Medicare payment per Day at DRG | $922 |
Total Medicare payment per Day with ICD Q909 - Down syndrome, unspecified | $829 |
Total Medicare payment per Hospitalization at DRG | $10,348 |
Total Medicare payment per Hospitalization with ICD Q909 - Down syndrome, unspecified | $12,107 |
Total Medicare Charges at DRG | $5,107,483,805 |
Total Medicare Charges with ICD Q909 - Down syndrome, unspecified | $5,044,357 |
Avg Charges at DRG | $35,344 |
Avg Charges with ICD Q909 - Down syndrome, unspecified | $68,167 |
Mortality Rate at DRG | 0.73 |
Mortality Rate with ICD Q909 - Down syndrome, unspecified | NA |
SNF Discharge Rate at DRG | 38.43 |
SNF Discharge Rate with ICD Q909 - Down syndrome, unspecified | 29.73 |
Home Discharge Rate at DRG | 27.81 |
Home Discharge Rate with ICD Q909 - Down syndrome, unspecified | 41.89 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,808,415 | ||||
Total Hospitalizations with ICD Q909 - Down syndrome, unspecified | 7,806 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD Q909 - Down syndrome, unspecified in DRG | 18.01 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD Q909 - Down syndrome, unspecified | 6.98 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD Q909 - Down syndrome, unspecified | 24.09 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD Q909 - Down syndrome, unspecified | 18.49 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD Q909 - Down syndrome, unspecified | $95,234,377 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD Q909 - Down syndrome, unspecified | $1,749 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD Q909 - Down syndrome, unspecified | $12,200 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD Q909 - Down syndrome, unspecified | $467,795,638 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD Q909 - Down syndrome, unspecified | $59,928 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD Q909 - Down syndrome, unspecified | 10.58 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD Q909 - Down syndrome, unspecified | 21.07 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD Q909 - Down syndrome, unspecified | 33.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 109,057 | ||||
Total Hospitalizations with ICD Q909 - Down syndrome, unspecified | 1,078 | ||||
DRG Share of Total Hospitalizations | 0.33 | ||||
% of Total ICD Q909 - Down syndrome, unspecified in DRG | 2.49 | ||||
Avg LOS at DRG | 5.35 | ||||
Avg LOS with ICD Q909 - Down syndrome, unspecified | 5.48 | ||||
Readmission Rate at DRG | 21.3 | ||||
Readmission Rate with ICD Q909 - Down syndrome, unspecified | 21.48 | ||||
Unplanned Readmission Rate at DRG | 15.67 | ||||
Unplanned Readmission Rate with ICD Q909 - Down syndrome, unspecified | 17.05 | ||||
Total Medicare payments at DRG | $920,227,801 | ||||
Total Medicare payments with ICD Q909 - Down syndrome, unspecified | $9,542,960 | ||||
Total Medicare payment per Day at DRG | $1,576 | ||||
Total Medicare payment per Day with ICD Q909 - Down syndrome, unspecified | $1,615 | ||||
Total Medicare payment per Hospitalization at DRG | $8,438 | ||||
Total Medicare payment per Hospitalization with ICD Q909 - Down syndrome, unspecified | $8,852 | ||||
Total Medicare Charges at DRG | $4,179,019,701 | ||||
Total Medicare Charges with ICD Q909 - Down syndrome, unspecified | $37,169,728 | ||||
Avg Charges at DRG | $38,320 | ||||
Avg Charges with ICD Q909 - Down syndrome, unspecified | $34,480 | ||||
Mortality Rate at DRG | 1.76 | ||||
Mortality Rate with ICD Q909 - Down syndrome, unspecified | 1.21 | ||||
SNF Discharge Rate at DRG | 27.6 | ||||
SNF Discharge Rate with ICD Q909 - Down syndrome, unspecified | 16.42 | ||||
Home Discharge Rate at DRG | 33.88 | ||||
Home Discharge Rate with ICD Q909 - Down syndrome, unspecified | 45.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 269,064 | ||||
Total Hospitalizations with ICD Q909 - Down syndrome, unspecified | 724 | ||||
DRG Share of Total Hospitalizations | 0.82 | ||||
% of Total ICD Q909 - Down syndrome, unspecified in DRG | 1.67 | ||||
Avg LOS at DRG | 13.18 | ||||
Avg LOS with ICD Q909 - Down syndrome, unspecified | 14.78 | ||||
Readmission Rate at DRG | 37.51 | ||||
Readmission Rate with ICD Q909 - Down syndrome, unspecified | 35.9 | ||||
Unplanned Readmission Rate at DRG | 18.15 | ||||
Unplanned Readmission Rate with ICD Q909 - Down syndrome, unspecified | 19.67 | ||||
Total Medicare payments at DRG | $9,344,186,034 | ||||
Total Medicare payments with ICD Q909 - Down syndrome, unspecified | $26,479,957 | ||||
Total Medicare payment per Day at DRG | $2,635 | ||||
Total Medicare payment per Day with ICD Q909 - Down syndrome, unspecified | $2,475 | ||||
Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
Total Medicare payment per Hospitalization with ICD Q909 - Down syndrome, unspecified | $36,575 | ||||
Total Medicare Charges at DRG | $44,371,117,432 | ||||
Total Medicare Charges with ICD Q909 - Down syndrome, unspecified | $125,622,448 | ||||
Avg Charges at DRG | $164,909 | ||||
Avg Charges with ICD Q909 - Down syndrome, unspecified | $173,512 | ||||
Mortality Rate at DRG | 14.37 | ||||
Mortality Rate with ICD Q909 - Down syndrome, unspecified | 12.85 | ||||
SNF Discharge Rate at DRG | 31.8 | ||||
SNF Discharge Rate with ICD Q909 - Down syndrome, unspecified | 29.42 | ||||
Home Discharge Rate at DRG | 14.61 | ||||
Home Discharge Rate with ICD Q909 - Down syndrome, unspecified | 16.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,013,774 | ||||
Total Hospitalizations with ICD Q909 - Down syndrome, unspecified | 525 | ||||
DRG Share of Total Hospitalizations | 3.08 | ||||
% of Total ICD Q909 - Down syndrome, unspecified in DRG | 1.21 | ||||
Avg LOS at DRG | 5.34 | ||||
Avg LOS with ICD Q909 - Down syndrome, unspecified | 6.55 | ||||
Readmission Rate at DRG | 28.25 | ||||
Readmission Rate with ICD Q909 - Down syndrome, unspecified | 21.89 | ||||
Unplanned Readmission Rate at DRG | 21.93 | ||||
Unplanned Readmission Rate with ICD Q909 - Down syndrome, unspecified | 16.52 | ||||
Total Medicare payments at DRG | $9,469,067,156 | ||||
Total Medicare payments with ICD Q909 - Down syndrome, unspecified | $5,111,618 | ||||
Total Medicare payment per Day at DRG | $1,751 | ||||
Total Medicare payment per Day with ICD Q909 - Down syndrome, unspecified | $1,487 | ||||
Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
Total Medicare payment per Hospitalization with ICD Q909 - Down syndrome, unspecified | $9,736 | ||||
Total Medicare Charges at DRG | $43,343,716,813 | ||||
Total Medicare Charges with ICD Q909 - Down syndrome, unspecified | $26,356,401 | ||||
Avg Charges at DRG | $42,755 | ||||
Avg Charges with ICD Q909 - Down syndrome, unspecified | $50,203 | ||||
Mortality Rate at DRG | 3.72 | ||||
Mortality Rate with ICD Q909 - Down syndrome, unspecified | 5.52 | ||||
SNF Discharge Rate at DRG | 20.84 | ||||
SNF Discharge Rate with ICD Q909 - Down syndrome, unspecified | 14.48 | ||||
Home Discharge Rate at DRG | 37.68 | ||||
Home Discharge Rate with ICD Q909 - Down syndrome, unspecified | 45.52 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
ADVOCATE LUTHERAN GENERAL HOSPITAL | 1775 DEMPSTER STREET | PARK RIDGE | IL | 60068 | 196 |
ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 138 |
PLAINVIEW HOSPITAL | 888 OLD COUNTRY RD | PLAINVIEW | NY | 11803 | 108 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. SEBASTIAN PAUL AVOLESE | 7309 MYRTLE AVE | GLENDALE | NY | 11385 | 42 |
Dr. STEVEN MARDJETKO | 9000 WAUKEGAN RD | MORTON GROVE | IL | 60053 | 20 |
Dr. GHASAN M. TABEL | 10800 MAGNOLIA AVE | RIVERSIDE | CA | 92505 | 16 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ERIN BETH DOMINIAK | 1610 LUTHER LN | PARK RIDGE | IL | 60068 | 71 |
Dr. BRIAN ALLEN CHICOINE | 1999 DEMPSTER ST | PARK RIDGE | IL | 60068 | 62 |
Dr. SEBASTIAN PAUL AVOLESE | 7309 MYRTLE AVE | GLENDALE | NY | 11385 | 56 |