*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter - as a primary diagnosis code | T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.93 | |
| Readmission Rate (%) | 25.39 | |
| 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 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 71,748 | |
| Total Hospitalizations with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 25 | |
| DRG Share of Total Hospitalizations | 0.22 | |
| % of Total ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter in DRG | 54.35 | |
| Avg LOS at DRG | 2.93 | |
| Avg LOS with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 2.72 | |
| Readmission Rate at DRG | 33.86 | |
| Readmission Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | NA | |
| Unplanned Readmission Rate at DRG | 10.34 | |
| Unplanned Readmission Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | NA | |
| Total Medicare payments at DRG | $313,351,773 | |
| Total Medicare payments with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $99,213 | |
| Total Medicare payment per Day at DRG | $1,489 | |
| Total Medicare payment per Day with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $1,459 | |
| Total Medicare payment per Hospitalization at DRG | $4,367 | |
| Total Medicare payment per Hospitalization with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $3,969 | |
| Total Medicare Charges at DRG | $1,750,048,705 | |
| Total Medicare Charges with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $453,322 | |
| Avg Charges at DRG | $24,392 | |
| Avg Charges with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $18,133 | |
| Mortality Rate at DRG | 0.22 | |
| Mortality Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | NA | |
| SNF Discharge Rate at DRG | 7.61 | |
| SNF Discharge Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | NA | |
| Home Discharge Rate at DRG | 51.88 | |
| Home Discharge Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 52.0 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 8,105 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter in DRG | 13.93 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 6.33 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 27.4 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 21.3 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $77,554,516 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $1,511 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $9,569 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $372,181,436 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $45,920 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 2.46 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 24.77 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 33.16 |
*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 312: SYNCOPE AND COLLAPSE | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 2,339 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter in DRG | 4.02 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 7.85 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 25.07 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 18.34 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $28,152,706 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $1,532 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $12,036 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $159,008,519 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $67,981 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 5.9 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 33.65 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 21.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 1,044 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter in DRG | 1.79 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 5.75 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 26.69 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 20.75 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $7,877,348 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $1,312 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $7,545 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $43,114,181 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $41,297 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 1.53 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 21.07 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 41.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 684: RENAL FAILURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 114,725 | ||||
| Total Hospitalizations with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 658 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter in DRG | 1.13 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 9.25 | ||||
| Readmission Rate at DRG | 28.23 | ||||
| Readmission Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 29.19 | ||||
| Unplanned Readmission Rate at DRG | 17.16 | ||||
| Unplanned Readmission Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 16.95 | ||||
| Total Medicare payments at DRG | $1,698,418,701 | ||||
| Total Medicare payments with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $10,132,679 | ||||
| Total Medicare payment per Day at DRG | $2,144 | ||||
| Total Medicare payment per Day with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $1,664 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,804 | ||||
| Total Medicare payment per Hospitalization with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $15,399 | ||||
| Total Medicare Charges at DRG | $9,142,710,160 | ||||
| Total Medicare Charges with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $58,278,864 | ||||
| Avg Charges at DRG | $79,692 | ||||
| Avg Charges with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | $88,570 | ||||
| Mortality Rate at DRG | 3.27 | ||||
| Mortality Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 2.13 | ||||
| SNF Discharge Rate at DRG | 10.66 | ||||
| SNF Discharge Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 13.83 | ||||
| Home Discharge Rate at DRG | 53.35 | ||||
| Home Discharge Rate with ICD T501X5A - Adverse effect of loop [high-ceiling] diuretics, initial encounter | 48.94 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 363 |
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 229 |
| CAPE FEAR VALLEY MEDICAL CENTER | 1638 OWEN DR | FAYETTEVILLE | NC | 28304 | 222 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALEKSANDRA VIDACIC | 120 E HARRIS AVE | SAN ANGELO | TX | 76903 | 20 |
| Dr. TODD G MATROS | 3705 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 13 |
| Dr. THOMAS W GOODLIVE | 3705 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 85 |
| Dr. MORAD L EL-RAHEB | 1145 S UTICA AVE | TULSA | OK | 74104 | 35 |
| Dr. KHALEELUR R ZACKARIYA | 5215 HOLYCROSS PARKWAY | MISHIWAKA | IN | 46545 | 27 |