*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter - as a primary diagnosis code | T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.01 | |
| Readmission Rate (%) | 24.52 | |
| Unplanned Readmission Rate (%) | 14.64 | |
| 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 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 101,548 | |
| Total Hospitalizations with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 257 | |
| DRG Share of Total Hospitalizations | 0.31 | |
| % of Total ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter in DRG | 60.19 | |
| Avg LOS at DRG | 4.68 | |
| Avg LOS with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 3.93 | |
| Readmission Rate at DRG | 32.74 | |
| Readmission Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 28.99 | |
| Unplanned Readmission Rate at DRG | 13.79 | |
| Unplanned Readmission Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 15.55 | |
| Total Medicare payments at DRG | $922,969,291 | |
| Total Medicare payments with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $2,198,563 | |
| Total Medicare payment per Day at DRG | $1,941 | |
| Total Medicare payment per Day with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $2,179 | |
| Total Medicare payment per Hospitalization at DRG | $9,089 | |
| Total Medicare payment per Hospitalization with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $8,555 | |
| Total Medicare Charges at DRG | $4,727,523,206 | |
| Total Medicare Charges with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $9,002,777 | |
| Avg Charges at DRG | $46,555 | |
| Avg Charges with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $35,030 | |
| Mortality Rate at DRG | 2.95 | |
| Mortality Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | NA | |
| SNF Discharge Rate at DRG | 13.87 | |
| SNF Discharge Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 26.85 | |
| Home Discharge Rate at DRG | 43.04 | |
| Home Discharge Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 40.47 |
*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 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 2,772 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter in DRG | 4.55 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 7.05 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 24.26 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 16.75 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $32,484,248 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $1,663 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $11,719 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $178,621,852 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $64,438 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 6.57 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 30.59 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 26.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,617 | ||||
| Total Hospitalizations with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 1,486 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter in DRG | 2.44 | ||||
| Avg LOS at DRG | 9.5 | ||||
| Avg LOS with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 4.96 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 27.29 | ||||
| Unplanned Readmission Rate at DRG | 19.26 | ||||
| Unplanned Readmission Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 18.22 | ||||
| Total Medicare payments at DRG | $1,599,186,807 | ||||
| Total Medicare payments with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $14,224,476 | ||||
| Total Medicare payment per Day at DRG | $1,656 | ||||
| Total Medicare payment per Day with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $1,931 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,737 | ||||
| Total Medicare payment per Hospitalization with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $9,572 | ||||
| Total Medicare Charges at DRG | $4,836,538,333 | ||||
| Total Medicare Charges with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $62,353,047 | ||||
| Avg Charges at DRG | $47,596 | ||||
| Avg Charges with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $41,960 | ||||
| Mortality Rate at DRG | 2.8 | ||||
| Mortality Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 1.95 | ||||
| SNF Discharge Rate at DRG | 20.21 | ||||
| SNF Discharge Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 32.57 | ||||
| Home Discharge Rate at DRG | 20.17 | ||||
| Home Discharge Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 27.05 |
*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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 892 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter in DRG | 1.46 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 3.6 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 20.83 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 14.93 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $4,082,110 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $1,271 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $4,576 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $28,323,344 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $31,753 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 10.99 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 65.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 715 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter in DRG | 1.17 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 6.06 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 22.91 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 16.69 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $6,090,152 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $1,405 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $8,518 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $34,108,411 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | $47,704 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 1.96 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 28.11 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD T50905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter | 36.78 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 236 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 220 |
| NEW HANOVER REGIONAL MEDICAL CENTER | 2131 S 17TH ST | WILMINGTON | NC | 28401 | 217 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL E JESSEN | 5323 HARRY HINES BLVD | DALLAS | TX | 75390 | 24 |
| Dr. ROBERT J TAIT | 10561 JEFFREYS ST | HENDERSON | NV | 89052 | 24 |
| Dr. FREDERICK B MORGAN | 311 COURTHOUSE RD | PRINCETON | WV | 24740 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN BERNSTEIN | 7010 SMOKE RANCH RD STE 120 | LAS VEGAS | NV | 89128 | 43 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 42 |
| Dr. PIYAL P PATEL | 1023 NIPOMO ST | SAN LUIS OBISPO | CA | 93401 | 30 |