*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.98 | |
| 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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | 457 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure in DRG | 8.44 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | 7.75 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | 31.46 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | 20.98 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | $6,635,876 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | $1,873 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | $14,521 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | $30,304,808 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | $66,312 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | 3.72 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | 18.82 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | 42.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 65,802 | ||||
| Total Hospitalizations with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | 105 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure in DRG | 1.94 | ||||
| Avg LOS at DRG | 3.64 | ||||
| Avg LOS with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | 4.45 | ||||
| Readmission Rate at DRG | 22.8 | ||||
| Readmission Rate with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | 29.41 | ||||
| Unplanned Readmission Rate at DRG | 15.06 | ||||
| Unplanned Readmission Rate with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | 15.69 | ||||
| Total Medicare payments at DRG | $412,252,033 | ||||
| Total Medicare payments with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | $783,949 | ||||
| Total Medicare payment per Day at DRG | $1,719 | ||||
| Total Medicare payment per Day with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | $1,679 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,265 | ||||
| Total Medicare payment per Hospitalization with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | $7,466 | ||||
| Total Medicare Charges at DRG | $2,144,361,929 | ||||
| Total Medicare Charges with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | $3,669,019 | ||||
| Avg Charges at DRG | $32,588 | ||||
| Avg Charges with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | $34,943 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | NA | ||||
| SNF Discharge Rate at DRG | 12.49 | ||||
| SNF Discharge Rate with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | 13.33 | ||||
| Home Discharge Rate at DRG | 54.54 | ||||
| Home Discharge Rate with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | 46.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 200: PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 28,696 | ||||
| Total Hospitalizations with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | 75 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure in DRG | 1.39 | ||||
| Avg LOS at DRG | 4.09 | ||||
| Avg LOS with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | 3.48 | ||||
| Readmission Rate at DRG | 17.76 | ||||
| Readmission Rate with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | NA | ||||
| Unplanned Readmission Rate at DRG | 9.94 | ||||
| Unplanned Readmission Rate with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | NA | ||||
| Total Medicare payments at DRG | $185,027,607 | ||||
| Total Medicare payments with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | $589,094 | ||||
| Total Medicare payment per Day at DRG | $1,575 | ||||
| Total Medicare payment per Day with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | $2,257 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,448 | ||||
| Total Medicare payment per Hospitalization with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | $7,855 | ||||
| Total Medicare Charges at DRG | $1,002,898,282 | ||||
| Total Medicare Charges with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | $2,120,325 | ||||
| Avg Charges at DRG | $34,949 | ||||
| Avg Charges with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | $28,271 | ||||
| Mortality Rate at DRG | 0.51 | ||||
| Mortality Rate with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | NA | ||||
| SNF Discharge Rate at DRG | 15.23 | ||||
| SNF Discharge Rate with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | NA | ||||
| Home Discharge Rate at DRG | 58.97 | ||||
| Home Discharge Rate with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | 81.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,827 | ||||
| Total Hospitalizations with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | 59 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure in DRG | 1.09 | ||||
| Avg LOS at DRG | 8.58 | ||||
| Avg LOS with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | 6.75 | ||||
| Readmission Rate at DRG | 27.62 | ||||
| Readmission Rate with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | NA | ||||
| Unplanned Readmission Rate at DRG | 15.85 | ||||
| Unplanned Readmission Rate with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | NA | ||||
| Total Medicare payments at DRG | $555,779,802 | ||||
| Total Medicare payments with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | $797,300 | ||||
| Total Medicare payment per Day at DRG | $1,668 | ||||
| Total Medicare payment per Day with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | $2,003 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,314 | ||||
| Total Medicare payment per Hospitalization with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | $13,514 | ||||
| Total Medicare Charges at DRG | $2,652,789,227 | ||||
| Total Medicare Charges with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | $2,726,184 | ||||
| Avg Charges at DRG | $68,323 | ||||
| Avg Charges with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | $46,207 | ||||
| Mortality Rate at DRG | 3.06 | ||||
| Mortality Rate with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | NA | ||||
| SNF Discharge Rate at DRG | 20.78 | ||||
| SNF Discharge Rate with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | NA | ||||
| Home Discharge Rate at DRG | 32.02 | ||||
| Home Discharge Rate with ICD Y848 - Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure | 57.63 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BETH ISRAEL DEACONESS MEDICAL CENTER | 330 BROOKLINE AVE | BOSTON | MA | 02215 | 792 |
| BAPTIST MEDICAL CENTER JACKSONVILLE | 800 PRUDENTIAL DR | JACKSONVILLE | FL | 32207 | 299 |
| HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA | 3400 SPRUCE ST | PHILADELPHIA | PA | 19104 | 237 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN RUNDBACK | 718 TEANECK RD | TEANECK | NJ | 07666 | 34 |
| Dr. VINCENT GALLO | 718 TEANECK RD | TEANECK | NJ | 07666 | 27 |
| Dr. MANDEEP SAWHNEY | 330 BROOKLINE AVE | BOSTON | MA | 02215 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOSE SABOGAL | 776 E 3RD AVE | ROSELLE | NJ | 07203 | 18 |
| Dr. NIMESH K VESUWALA | 82 TUNNEL RD | POTTSVILLE | PA | 17901 | 16 |
| Dr. ABDUL HANAN CHEEMA | 5410 MARYLAND WAY | BRENTWOOD | TN | 37027 | 16 |