*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R948 - Abnormal results of function studies of other organs and systems - as a primary diagnosis code | R948 - Abnormal results of function studies of other organs and systems - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.18 | |
| Readmission Rate (%) | 21.29 | |
| 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 696: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 23,141 |
| Total Hospitalizations with ICD R948 - Abnormal results of function studies of other organs and systems | 14 |
| DRG Share of Total Hospitalizations | 0.07 |
| % of Total ICD R948 - Abnormal results of function studies of other organs and systems in DRG | 82.35 |
| Avg LOS at DRG | 2.84 |
| Avg LOS with ICD R948 - Abnormal results of function studies of other organs and systems | 2.0 |
| Readmission Rate at DRG | 20.27 |
| Readmission Rate with ICD R948 - Abnormal results of function studies of other organs and systems | NA |
| Unplanned Readmission Rate at DRG | 15.25 |
| Unplanned Readmission Rate with ICD R948 - Abnormal results of function studies of other organs and systems | NA |
| Total Medicare payments at DRG | $96,280,494 |
| Total Medicare payments with ICD R948 - Abnormal results of function studies of other organs and systems | $47,859 |
| Total Medicare payment per Day at DRG | $1,467 |
| Total Medicare payment per Day with ICD R948 - Abnormal results of function studies of other organs and systems | $1,709 |
| Total Medicare payment per Hospitalization at DRG | $4,161 |
| Total Medicare payment per Hospitalization with ICD R948 - Abnormal results of function studies of other organs and systems | $3,419 |
| Total Medicare Charges at DRG | $500,411,349 |
| Total Medicare Charges with ICD R948 - Abnormal results of function studies of other organs and systems | $229,115 |
| Avg Charges at DRG | $21,624 |
| Avg Charges with ICD R948 - Abnormal results of function studies of other organs and systems | $16,365 |
| Mortality Rate at DRG | 0.28 |
| Mortality Rate with ICD R948 - Abnormal results of function studies of other organs and systems | NA |
| SNF Discharge Rate at DRG | 15.28 |
| SNF Discharge Rate with ICD R948 - Abnormal results of function studies of other organs and systems | NA |
| Home Discharge Rate at DRG | 59.05 |
| Home Discharge Rate with ICD R948 - Abnormal results of function studies of other organs and systems | 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD R948 - Abnormal results of function studies of other organs and systems | 187 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R948 - Abnormal results of function studies of other organs and systems in DRG | 6.5 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R948 - Abnormal results of function studies of other organs and systems | 2.93 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R948 - Abnormal results of function studies of other organs and systems | 13.29 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R948 - Abnormal results of function studies of other organs and systems | 8.09 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R948 - Abnormal results of function studies of other organs and systems | $763,086 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R948 - Abnormal results of function studies of other organs and systems | $1,392 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R948 - Abnormal results of function studies of other organs and systems | $4,081 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R948 - Abnormal results of function studies of other organs and systems | $4,520,474 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R948 - Abnormal results of function studies of other organs and systems | $24,174 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R948 - Abnormal results of function studies of other organs and systems | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R948 - Abnormal results of function studies of other organs and systems | NA | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R948 - Abnormal results of function studies of other organs and systems | 73.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD R948 - Abnormal results of function studies of other organs and systems | 55 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD R948 - Abnormal results of function studies of other organs and systems in DRG | 1.91 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD R948 - Abnormal results of function studies of other organs and systems | 3.69 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD R948 - Abnormal results of function studies of other organs and systems | NA | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD R948 - Abnormal results of function studies of other organs and systems | NA | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD R948 - Abnormal results of function studies of other organs and systems | $312,909 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD R948 - Abnormal results of function studies of other organs and systems | $1,541 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD R948 - Abnormal results of function studies of other organs and systems | $5,689 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD R948 - Abnormal results of function studies of other organs and systems | $1,665,971 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD R948 - Abnormal results of function studies of other organs and systems | $30,290 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD R948 - Abnormal results of function studies of other organs and systems | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD R948 - Abnormal results of function studies of other organs and systems | 21.82 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD R948 - Abnormal results of function studies of other organs and systems | 38.18 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION 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 R948 - Abnormal results of function studies of other organs and systems | 46 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD R948 - Abnormal results of function studies of other organs and systems in DRG | 1.6 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD R948 - Abnormal results of function studies of other organs and systems | 7.65 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD R948 - Abnormal results of function studies of other organs and systems | NA | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD R948 - Abnormal results of function studies of other organs and systems | NA | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD R948 - Abnormal results of function studies of other organs and systems | $449,866 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD R948 - Abnormal results of function studies of other organs and systems | $1,278 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD R948 - Abnormal results of function studies of other organs and systems | $9,780 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD R948 - Abnormal results of function studies of other organs and systems | $2,674,879 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD R948 - Abnormal results of function studies of other organs and systems | $58,150 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD R948 - Abnormal results of function studies of other organs and systems | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD R948 - Abnormal results of function studies of other organs and systems | NA | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD R948 - Abnormal results of function studies of other organs and systems | 41.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 312: SYNCOPE AND COLLAPSE | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 243,742 | ||||
| Total Hospitalizations with ICD R948 - Abnormal results of function studies of other organs and systems | 34 | ||||
| DRG Share of Total Hospitalizations | 0.74 | ||||
| % of Total ICD R948 - Abnormal results of function studies of other organs and systems in DRG | 1.18 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD R948 - Abnormal results of function studies of other organs and systems | 3.03 | ||||
| Readmission Rate at DRG | 16.31 | ||||
| Readmission Rate with ICD R948 - Abnormal results of function studies of other organs and systems | NA | ||||
| Unplanned Readmission Rate at DRG | 11.3 | ||||
| Unplanned Readmission Rate with ICD R948 - Abnormal results of function studies of other organs and systems | NA | ||||
| Total Medicare payments at DRG | $1,150,233,161 | ||||
| Total Medicare payments with ICD R948 - Abnormal results of function studies of other organs and systems | $176,354 | ||||
| Total Medicare payment per Day at DRG | $1,663 | ||||
| Total Medicare payment per Day with ICD R948 - Abnormal results of function studies of other organs and systems | $1,712 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,719 | ||||
| Total Medicare payment per Hospitalization with ICD R948 - Abnormal results of function studies of other organs and systems | $5,187 | ||||
| Total Medicare Charges at DRG | $6,931,408,244 | ||||
| Total Medicare Charges with ICD R948 - Abnormal results of function studies of other organs and systems | $970,081 | ||||
| Avg Charges at DRG | $28,437 | ||||
| Avg Charges with ICD R948 - Abnormal results of function studies of other organs and systems | $28,532 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD R948 - Abnormal results of function studies of other organs and systems | NA | ||||
| SNF Discharge Rate at DRG | 18.06 | ||||
| SNF Discharge Rate with ICD R948 - Abnormal results of function studies of other organs and systems | NA | ||||
| Home Discharge Rate at DRG | 53.49 | ||||
| Home Discharge Rate with ICD R948 - Abnormal results of function studies of other organs and systems | 67.65 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. JOSEPH'S HOSPITAL HEALTH CENTER | 301 PROSPECT AVE | SYRACUSE | NY | 13203 | 39 |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | 1301 PENNSYLVANIA AVE | FORT WORTH | TX | 76104 | 36 |
| CAROMONT REGIONAL MEDICAL CENTER | 2525 COURT DR | GASTONIA | NC | 28054 | 26 |