*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R54 - Age-related physical debility - as a primary diagnosis code | R54 - Age-related physical debility - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.1 | |
| Readmission Rate (%) | 21.93 | |
| Unplanned Readmission Rate (%) | 11.83 | |
| 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 | DRG 876: O.R. PROCEDURE WITH PRINCIPAL DIAGNOSES OF MENTAL ILLNESS | |
|---|---|---|
| Total Hospitalizations at DRG | 144,507 | |
| Total Hospitalizations with ICD R54 - Age-related physical debility | 1,608 | |
| DRG Share of Total Hospitalizations | 0.44 | |
| % of Total ICD R54 - Age-related physical debility in DRG | 99.01 | |
| Avg LOS at DRG | 11.23 | |
| Avg LOS with ICD R54 - Age-related physical debility | 5.62 | |
| Readmission Rate at DRG | 20.52 | |
| Readmission Rate with ICD R54 - Age-related physical debility | 17.78 | |
| Unplanned Readmission Rate at DRG | 12.21 | |
| Unplanned Readmission Rate with ICD R54 - Age-related physical debility | 11.68 | |
| Total Medicare payments at DRG | $1,495,371,248 | |
| Total Medicare payments with ICD R54 - Age-related physical debility | $14,824,818 | |
| Total Medicare payment per Day at DRG | $922 | |
| Total Medicare payment per Day with ICD R54 - Age-related physical debility | $1,639 | |
| Total Medicare payment per Hospitalization at DRG | $10,348 | |
| Total Medicare payment per Hospitalization with ICD R54 - Age-related physical debility | $9,219 | |
| Total Medicare Charges at DRG | $5,107,483,805 | |
| Total Medicare Charges with ICD R54 - Age-related physical debility | $45,107,870 | |
| Avg Charges at DRG | $35,344 | |
| Avg Charges with ICD R54 - Age-related physical debility | $28,052 | |
| Mortality Rate at DRG | 0.73 | |
| Mortality Rate with ICD R54 - Age-related physical debility | 0.87 | |
| SNF Discharge Rate at DRG | 38.43 | |
| SNF Discharge Rate with ICD R54 - Age-related physical debility | 51.68 | |
| Home Discharge Rate at DRG | 27.81 | |
| Home Discharge Rate with ICD R54 - Age-related physical debility | 11.82 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MISSION REGIONAL MEDICAL CENTER | 900 S BRYAN RD | MISSION | TX | 78572 | 65 |
| HEALTHSOUTH REHABILITATION HOSPITAL OF NEWNAN | 2101 NEWNAN CROSSING BLVD E | NEWNAN | GA | 30265 | 32 |
| MERCY HEALTH - ST. RITA'S MEDICAL CENTER | 730 W MARKET ST | LIMA | OH | 45801 | 30 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JUMAR B APOLINARIO | 425 E ALTON GLOOR BLVD | BROWNSVILLE | TX | 78526 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ENRIQUE WILDER LINAN | 1317 SAINT CLAIRE BLVD | MISSION | TX | 78572 | 61 |
| Dr. ISMAILU O AGBAJE | 601 W 2ND ST | BLOOMINGTON | IN | 47403 | 32 |
| Dr. JEFFORY FORD THOMAS | 5002 COWHORN CREEK RD | TEXARKANA | TX | 75503 | 25 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R54 - Age-related physical debility | 6,331 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R54 - Age-related physical debility in DRG | 6.82 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R54 - Age-related physical debility | 6.54 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R54 - Age-related physical debility | 21.85 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R54 - Age-related physical debility | 14.24 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R54 - Age-related physical debility | $72,654,930 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R54 - Age-related physical debility | $1,754 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R54 - Age-related physical debility | $11,476 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R54 - Age-related physical debility | $330,788,832 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R54 - Age-related physical debility | $52,249 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R54 - Age-related physical debility | 15.4 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R54 - Age-related physical debility | 33.04 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R54 - Age-related physical debility | 11.01 |
*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 | DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,507 | ||||
| Total Hospitalizations with ICD R54 - Age-related physical debility | 2,007 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD R54 - Age-related physical debility in DRG | 2.16 | ||||
| Avg LOS at DRG | 11.23 | ||||
| Avg LOS with ICD R54 - Age-related physical debility | 6.37 | ||||
| Readmission Rate at DRG | 20.52 | ||||
| Readmission Rate with ICD R54 - Age-related physical debility | 17.32 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD R54 - Age-related physical debility | 11.65 | ||||
| Total Medicare payments at DRG | $1,495,371,248 | ||||
| Total Medicare payments with ICD R54 - Age-related physical debility | $18,535,737 | ||||
| Total Medicare payment per Day at DRG | $922 | ||||
| Total Medicare payment per Day with ICD R54 - Age-related physical debility | $1,451 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,348 | ||||
| Total Medicare payment per Hospitalization with ICD R54 - Age-related physical debility | $9,236 | ||||
| Total Medicare Charges at DRG | $5,107,483,805 | ||||
| Total Medicare Charges with ICD R54 - Age-related physical debility | $56,812,303 | ||||
| Avg Charges at DRG | $35,344 | ||||
| Avg Charges with ICD R54 - Age-related physical debility | $28,307 | ||||
| Mortality Rate at DRG | 0.73 | ||||
| Mortality Rate with ICD R54 - Age-related physical debility | 1.15 | ||||
| SNF Discharge Rate at DRG | 38.43 | ||||
| SNF Discharge Rate with ICD R54 - Age-related physical debility | 50.67 | ||||
| Home Discharge Rate at DRG | 27.81 | ||||
| Home Discharge Rate with ICD R54 - Age-related physical debility | 12.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD R54 - Age-related physical debility | 1,761 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD R54 - Age-related physical debility in DRG | 1.9 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD R54 - Age-related physical debility | 5.82 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD R54 - Age-related physical debility | 24.1 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD R54 - Age-related physical debility | 18.23 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD R54 - Age-related physical debility | $13,442,174 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD R54 - Age-related physical debility | $1,311 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD R54 - Age-related physical debility | $7,633 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD R54 - Age-related physical debility | $70,543,754 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD R54 - Age-related physical debility | $40,059 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD R54 - Age-related physical debility | 3.58 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD R54 - Age-related physical debility | 27.03 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD R54 - Age-related physical debility | 28.17 |
*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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 365,119 | ||||
| Total Hospitalizations with ICD R54 - Age-related physical debility | 1,348 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R54 - Age-related physical debility in DRG | 1.45 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD R54 - Age-related physical debility | 6.39 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD R54 - Age-related physical debility | 24.14 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD R54 - Age-related physical debility | 17.41 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD R54 - Age-related physical debility | $12,953,862 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD R54 - Age-related physical debility | $1,503 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD R54 - Age-related physical debility | $9,610 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD R54 - Age-related physical debility | $57,091,226 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD R54 - Age-related physical debility | $42,353 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD R54 - Age-related physical debility | 9.27 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD R54 - Age-related physical debility | 35.83 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD R54 - Age-related physical debility | 14.24 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 882 |
| NORTH MISSISSIPPI HEALTH SERVICES | 830 S GLOSTER ST | TUPELO | MS | 38801 | 802 |
| MISSION REGIONAL MEDICAL CENTER | 900 S BRYAN RD | MISSION | TX | 78572 | 661 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOSHUA DAVID ROVIN | 455 PINELLAS ST. | CLEARWATER | FL | 33756 | 461 |
| Dr. JEREMIAH PETER DEPTA | 1415 PORTLAND AVE | ROCHESTER | NY | 14621 | 123 |
| Dr. FRANCIS L SHANNON | 3601 W. 13 MILE RD. | ROYAL OAK | MI | 48073 | 104 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ENRIQUE WILDER LINAN | 1317 SAINT CLAIRE BLVD | MISSION | TX | 78572 | 584 |
| Dr. JOSHUA DAVID ROVIN | 455 PINELLAS ST. | CLEARWATER | FL | 33756 | 457 |
| Dr. EDUARDO SANTIAGO VIOLAGO | 2151 LINGLESTOWN RD | HARRISBURG | PA | 17110 | 411 |