*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter - as a primary diagnosis code | T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.73 | |
| Readmission Rate (%) | 24.11 | |
| Unplanned Readmission Rate (%) | 12.65 | |
| 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 T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 186 | |
| DRG Share of Total Hospitalizations | 0.22 | |
| % of Total ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter in DRG | 54.39 | |
| Avg LOS at DRG | 2.93 | |
| Avg LOS with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 2.72 | |
| Readmission Rate at DRG | 33.86 | |
| Readmission Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 16.76 | |
| Unplanned Readmission Rate at DRG | 10.34 | |
| Unplanned Readmission Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 10.06 | |
| Total Medicare payments at DRG | $313,351,773 | |
| Total Medicare payments with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $798,277 | |
| Total Medicare payment per Day at DRG | $1,489 | |
| Total Medicare payment per Day with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $1,581 | |
| Total Medicare payment per Hospitalization at DRG | $4,367 | |
| Total Medicare payment per Hospitalization with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $4,292 | |
| Total Medicare Charges at DRG | $1,750,048,705 | |
| Total Medicare Charges with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $4,410,219 | |
| Avg Charges at DRG | $24,392 | |
| Avg Charges with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $23,711 | |
| Mortality Rate at DRG | 0.22 | |
| Mortality Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | NA | |
| SNF Discharge Rate at DRG | 7.61 | |
| SNF Discharge Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 17.74 | |
| Home Discharge Rate at DRG | 51.88 | |
| Home Discharge Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 58.06 |
*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 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 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 243,742 | ||||
| Total Hospitalizations with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 1,663 | ||||
| DRG Share of Total Hospitalizations | 0.74 | ||||
| % of Total ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter in DRG | 3.68 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 2.83 | ||||
| Readmission Rate at DRG | 16.31 | ||||
| Readmission Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 18.82 | ||||
| Unplanned Readmission Rate at DRG | 11.3 | ||||
| Unplanned Readmission Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 13.32 | ||||
| Total Medicare payments at DRG | $1,150,233,161 | ||||
| Total Medicare payments with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $7,837,442 | ||||
| Total Medicare payment per Day at DRG | $1,663 | ||||
| Total Medicare payment per Day with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $1,663 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,719 | ||||
| Total Medicare payment per Hospitalization with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $4,713 | ||||
| Total Medicare Charges at DRG | $6,931,408,244 | ||||
| Total Medicare Charges with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $48,148,115 | ||||
| Avg Charges at DRG | $28,437 | ||||
| Avg Charges with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $28,953 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 18.06 | ||||
| SNF Discharge Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 15.63 | ||||
| Home Discharge Rate at DRG | 53.49 | ||||
| Home Discharge Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 55.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 1,013 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter in DRG | 2.24 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 3.37 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 19.19 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 12.86 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $4,677,709 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $1,371 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $4,618 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $26,515,525 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $26,175 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 16.29 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 57.55 |
*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 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 885: PSYCHOSES | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 787 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter in DRG | 1.74 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 3.47 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 19.37 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 14.23 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $3,619,807 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $1,326 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $4,600 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $23,540,852 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $29,912 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 9.66 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 67.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 227,705 | ||||
| Total Hospitalizations with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 501 | ||||
| DRG Share of Total Hospitalizations | 0.69 | ||||
| % of Total ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter in DRG | 1.11 | ||||
| Avg LOS at DRG | 4.51 | ||||
| Avg LOS with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 4.89 | ||||
| Readmission Rate at DRG | 24.66 | ||||
| Readmission Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 27.33 | ||||
| Unplanned Readmission Rate at DRG | 18.32 | ||||
| Unplanned Readmission Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 20.17 | ||||
| Total Medicare payments at DRG | $1,725,174,811 | ||||
| Total Medicare payments with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $3,811,294 | ||||
| Total Medicare payment per Day at DRG | $1,678 | ||||
| Total Medicare payment per Day with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $1,557 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,576 | ||||
| Total Medicare payment per Hospitalization with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $7,607 | ||||
| Total Medicare Charges at DRG | $8,683,995,141 | ||||
| Total Medicare Charges with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $21,975,994 | ||||
| Avg Charges at DRG | $38,137 | ||||
| Avg Charges with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | $43,864 | ||||
| Mortality Rate at DRG | 4.12 | ||||
| Mortality Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 2.79 | ||||
| SNF Discharge Rate at DRG | 17.01 | ||||
| SNF Discharge Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 21.36 | ||||
| Home Discharge Rate at DRG | 48.19 | ||||
| Home Discharge Rate with ICD T50995A - Adverse effect of other drugs, medicaments and biological substances, initial encounter | 47.9 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 251 |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 180 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 170 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FREDERICK B MORGAN | 311 COURTHOUSE RD | PRINCETON | WV | 24740 | 14 |
| Dr. PHILIP J BRANSON | 311 COURTHOUSE RD | PRINCETON | WV | 24740 | 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 | 24 |
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 21 |
| Dr. KEVIN BERNSTEIN | 7010 SMOKE RANCH RD STE 120 | LAS VEGAS | NV | 89128 | 15 |