*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z006 - Encounter for examination for normal comparison and control in clinical research program - as a primary diagnosis code | Z006 - Encounter for examination for normal comparison and control in clinical research program - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.14 | |
| Readmission Rate (%) | 18.21 | |
| 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 951: OTHER FACTORS INFLUENCING HEALTH STATUS | DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 939: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,475 | |||
| Total Hospitalizations with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 58 | |||
| DRG Share of Total Hospitalizations | 0.01 | |||
| % of Total ICD Z006 - Encounter for examination for normal comparison and control in clinical research program in DRG | 31.69 | |||
| Avg LOS at DRG | 6.46 | |||
| Avg LOS with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 6.6 | |||
| Readmission Rate at DRG | 21.75 | |||
| Readmission Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 20.75 | |||
| Unplanned Readmission Rate at DRG | 13.67 | |||
| Unplanned Readmission Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | NA | |||
| Total Medicare payments at DRG | $24,331,342 | |||
| Total Medicare payments with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $755,933 | |||
| Total Medicare payment per Day at DRG | $842 | |||
| Total Medicare payment per Day with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $1,974 | |||
| Total Medicare payment per Hospitalization at DRG | $5,437 | |||
| Total Medicare payment per Hospitalization with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $13,033 | |||
| Total Medicare Charges at DRG | $86,404,017 | |||
| Total Medicare Charges with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $4,409,577 | |||
| Avg Charges at DRG | $19,308 | |||
| Avg Charges with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $76,027 | |||
| Mortality Rate at DRG | 26.77 | |||
| Mortality Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | NA | |||
| SNF Discharge Rate at DRG | 8.09 | |||
| SNF Discharge Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | NA | |||
| Home Discharge Rate at DRG | 40.13 | |||
| Home Discharge Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 72.41 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 274: PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,685 | ||||
| Total Hospitalizations with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 55,851 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD Z006 - Encounter for examination for normal comparison and control in clinical research program in DRG | 32.58 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 2.83 | ||||
| Readmission Rate at DRG | 12.03 | ||||
| Readmission Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 12.04 | ||||
| Unplanned Readmission Rate at DRG | 8.33 | ||||
| Unplanned Readmission Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 8.32 | ||||
| Total Medicare payments at DRG | $2,520,642,710 | ||||
| Total Medicare payments with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $2,492,913,726 | ||||
| Total Medicare payment per Day at DRG | $15,685 | ||||
| Total Medicare payment per Day with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $15,751 | ||||
| Total Medicare payment per Hospitalization at DRG | $44,468 | ||||
| Total Medicare payment per Hospitalization with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $44,635 | ||||
| Total Medicare Charges at DRG | $10,767,214,002 | ||||
| Total Medicare Charges with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $10,615,583,854 | ||||
| Avg Charges at DRG | $189,948 | ||||
| Avg Charges with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $190,070 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 0.23 | ||||
| SNF Discharge Rate at DRG | 7.22 | ||||
| SNF Discharge Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 7.25 | ||||
| Home Discharge Rate at DRG | 67.96 | ||||
| Home Discharge Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 67.87 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 273: PERCUTANEOUS INTRACARDIAC PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 227: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,761 | ||||
| Total Hospitalizations with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 2,493 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD Z006 - Encounter for examination for normal comparison and control in clinical research program in DRG | 1.45 | ||||
| Avg LOS at DRG | 7.1 | ||||
| Avg LOS with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 4.3 | ||||
| Readmission Rate at DRG | 27.79 | ||||
| Readmission Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 23.08 | ||||
| Unplanned Readmission Rate at DRG | 17.85 | ||||
| Unplanned Readmission Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 16.07 | ||||
| Total Medicare payments at DRG | $600,462,338 | ||||
| Total Medicare payments with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $69,327,665 | ||||
| Total Medicare payment per Day at DRG | $3,558 | ||||
| Total Medicare payment per Day with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $6,472 | ||||
| Total Medicare payment per Hospitalization at DRG | $25,271 | ||||
| Total Medicare payment per Hospitalization with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $27,809 | ||||
| Total Medicare Charges at DRG | $3,421,064,116 | ||||
| Total Medicare Charges with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $424,579,833 | ||||
| Avg Charges at DRG | $143,978 | ||||
| Avg Charges with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $170,309 | ||||
| Mortality Rate at DRG | 3.75 | ||||
| Mortality Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 1.93 | ||||
| SNF Discharge Rate at DRG | 14.86 | ||||
| SNF Discharge Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 9.71 | ||||
| Home Discharge Rate at DRG | 53.65 | ||||
| Home Discharge Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 67.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 226: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 036: CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 847: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 14,320 | ||||
| Total Hospitalizations with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 1,194 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD Z006 - Encounter for examination for normal comparison and control in clinical research program in DRG | 0.7 | ||||
| Avg LOS at DRG | 8.27 | ||||
| Avg LOS with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 8.01 | ||||
| Readmission Rate at DRG | 27.84 | ||||
| Readmission Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 22.4 | ||||
| Unplanned Readmission Rate at DRG | 18.06 | ||||
| Unplanned Readmission Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 14.52 | ||||
| Total Medicare payments at DRG | $663,105,389 | ||||
| Total Medicare payments with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $56,561,054 | ||||
| Total Medicare payment per Day at DRG | $5,597 | ||||
| Total Medicare payment per Day with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $5,918 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,306 | ||||
| Total Medicare payment per Hospitalization with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $47,371 | ||||
| Total Medicare Charges at DRG | $3,140,299,299 | ||||
| Total Medicare Charges with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $227,848,162 | ||||
| Avg Charges at DRG | $219,295 | ||||
| Avg Charges with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $190,828 | ||||
| Mortality Rate at DRG | 1.97 | ||||
| Mortality Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 1.17 | ||||
| SNF Discharge Rate at DRG | 17.58 | ||||
| SNF Discharge Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 17.76 | ||||
| Home Discharge Rate at DRG | 46.84 | ||||
| Home Discharge Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 50.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 014: ALLOGENEIC BONE MARROW TRANSPLANT | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 269: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,410 | ||||
| Total Hospitalizations with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 907 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD Z006 - Encounter for examination for normal comparison and control in clinical research program in DRG | 0.53 | ||||
| Avg LOS at DRG | 27.15 | ||||
| Avg LOS with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 27.53 | ||||
| Readmission Rate at DRG | 28.76 | ||||
| Readmission Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 28.23 | ||||
| Unplanned Readmission Rate at DRG | 8.51 | ||||
| Unplanned Readmission Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 6.88 | ||||
| Total Medicare payments at DRG | $316,670,719 | ||||
| Total Medicare payments with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $100,351,688 | ||||
| Total Medicare payment per Day at DRG | $3,421 | ||||
| Total Medicare payment per Day with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $4,018 | ||||
| Total Medicare payment per Hospitalization at DRG | $92,865 | ||||
| Total Medicare payment per Hospitalization with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $110,641 | ||||
| Total Medicare Charges at DRG | $1,488,215,147 | ||||
| Total Medicare Charges with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $406,951,831 | ||||
| Avg Charges at DRG | $436,427 | ||||
| Avg Charges with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | $448,679 | ||||
| Mortality Rate at DRG | 4.96 | ||||
| Mortality Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 6.06 | ||||
| SNF Discharge Rate at DRG | 0.88 | ||||
| SNF Discharge Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | NA | ||||
| Home Discharge Rate at DRG | 65.84 | ||||
| Home Discharge Rate with ICD Z006 - Encounter for examination for normal comparison and control in clinical research program | 66.7 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 2,739 |
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 2,666 |
| STANFORD HEALTHCARE | 300 PASTEUR DR | STANFORD | CA | 94305 | 2,592 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 1,490 |
| Dr. MATHEW R WILLIAMS | 530 1ST AVE | NEW YORK | NY | 10016 | 825 |
| Dr. ISAAC GEORGE | 177 FORT WASHINGTON AVE | NEW YORK | NY | 10032 | 718 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 1,289 |
| Dr. MATHEW R WILLIAMS | 530 1ST AVE | NEW YORK | NY | 10016 | 830 |
| Dr. MOLLY ANN SZERLIP | 4716 ALLIANCE BLVD. | PLANO | TX | 75093 | 707 |