*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Y92230 - Patient room in hospital as the place of occurrence of the external cause - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.21 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 415 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause in DRG | 4.49 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 3.52 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 11.63 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 3.22 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | $5,050,902 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | $3,460 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | $12,171 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | $25,369,781 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | $61,132 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 34.7 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 24.58 |
*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 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 141 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause in DRG | 1.52 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 5.98 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 23.62 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 18.9 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | $1,103,493 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | $1,309 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | $7,826 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | $6,525,814 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | $46,282 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 20.57 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 49.65 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 83,447 | ||||
| Total Hospitalizations with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 114 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause in DRG | 1.23 | ||||
| Avg LOS at DRG | 6.32 | ||||
| Avg LOS with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 7.42 | ||||
| Readmission Rate at DRG | 26.61 | ||||
| Readmission Rate with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 25.26 | ||||
| Unplanned Readmission Rate at DRG | 10.75 | ||||
| Unplanned Readmission Rate with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 11.58 | ||||
| Total Medicare payments at DRG | $1,636,094,359 | ||||
| Total Medicare payments with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | $2,264,839 | ||||
| Total Medicare payment per Day at DRG | $3,100 | ||||
| Total Medicare payment per Day with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | $2,677 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,606 | ||||
| Total Medicare payment per Hospitalization with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | $19,867 | ||||
| Total Medicare Charges at DRG | $7,936,043,941 | ||||
| Total Medicare Charges with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | $11,851,870 | ||||
| Avg Charges at DRG | $95,103 | ||||
| Avg Charges with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | $103,964 | ||||
| Mortality Rate at DRG | 3.79 | ||||
| Mortality Rate with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | NA | ||||
| SNF Discharge Rate at DRG | 52.83 | ||||
| SNF Discharge Rate with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 45.61 | ||||
| Home Discharge Rate at DRG | 9.28 | ||||
| Home Discharge Rate with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 86 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause in DRG | 0.93 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 20.72 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 33.78 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 18.92 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | $3,395,524 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | $1,905 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | $39,483 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | $15,232,421 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | $177,121 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | NA | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 27.91 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD Y92230 - Patient room in hospital as the place of occurrence of the external cause | 26.74 |
| 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 | 1,466 |
| SHARP GROSSMONT HOSPITAL | 5555 GROSSMONT CENTER DR | LA MESA | CA | 91942 | 972 |
| SHARP MEMORIAL HOSPITAL | 7901 FROST ST | SAN DIEGO | CA | 92123 | 603 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KENNETH ANDREW MARTIN | 8907 KANIS RD | LITTLE ROCK | AR | 72205 | 62 |
| Dr. KAMAL RAMEZ KHABBAZ | 110 FRANCIS ST | BOSTON | MA | 02215 | 54 |
| Dr. VENKATACHALAM SENTHILNATHAN | 110 FRANCIS ST | BOSTON | MA | 02215 | 47 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KENNETH ANDREW MARTIN | 8907 KANIS RD | LITTLE ROCK | AR | 72205 | 62 |
| Dr. KAMAL RAMEZ KHABBAZ | 110 FRANCIS ST | BOSTON | MA | 02215 | 53 |
| Dr. VENKATACHALAM SENTHILNATHAN | 110 FRANCIS ST | BOSTON | MA | 02215 | 47 |