*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z01811 - Encounter for preprocedural respiratory examination - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 4.68 | |
| 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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 236: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z01811 - Encounter for preprocedural respiratory examination | 1,152 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z01811 - Encounter for preprocedural respiratory examination in DRG | 31.24 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z01811 - Encounter for preprocedural respiratory examination | 2.2 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z01811 - Encounter for preprocedural respiratory examination | 17.73 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z01811 - Encounter for preprocedural respiratory examination | 2.15 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z01811 - Encounter for preprocedural respiratory examination | $11,366,436 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z01811 - Encounter for preprocedural respiratory examination | $4,489 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z01811 - Encounter for preprocedural respiratory examination | $9,867 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z01811 - Encounter for preprocedural respiratory examination | $62,101,331 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z01811 - Encounter for preprocedural respiratory examination | $53,907 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z01811 - Encounter for preprocedural respiratory examination | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z01811 - Encounter for preprocedural respiratory examination | 10.5 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z01811 - Encounter for preprocedural respiratory examination | 22.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 53,232 | ||||
| Total Hospitalizations with ICD Z01811 - Encounter for preprocedural respiratory examination | 112 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD Z01811 - Encounter for preprocedural respiratory examination in DRG | 3.04 | ||||
| Avg LOS at DRG | 6.67 | ||||
| Avg LOS with ICD Z01811 - Encounter for preprocedural respiratory examination | 5.95 | ||||
| Readmission Rate at DRG | 19.14 | ||||
| Readmission Rate with ICD Z01811 - Encounter for preprocedural respiratory examination | 17.86 | ||||
| Unplanned Readmission Rate at DRG | 9.02 | ||||
| Unplanned Readmission Rate with ICD Z01811 - Encounter for preprocedural respiratory examination | NA | ||||
| Total Medicare payments at DRG | $1,849,514,487 | ||||
| Total Medicare payments with ICD Z01811 - Encounter for preprocedural respiratory examination | $3,298,370 | ||||
| Total Medicare payment per Day at DRG | $5,212 | ||||
| Total Medicare payment per Day with ICD Z01811 - Encounter for preprocedural respiratory examination | $4,953 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,744 | ||||
| Total Medicare payment per Hospitalization with ICD Z01811 - Encounter for preprocedural respiratory examination | $29,450 | ||||
| Total Medicare Charges at DRG | $9,786,140,365 | ||||
| Total Medicare Charges with ICD Z01811 - Encounter for preprocedural respiratory examination | $17,448,244 | ||||
| Avg Charges at DRG | $183,839 | ||||
| Avg Charges with ICD Z01811 - Encounter for preprocedural respiratory examination | $155,788 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD Z01811 - Encounter for preprocedural respiratory examination | NA | ||||
| SNF Discharge Rate at DRG | 15.26 | ||||
| SNF Discharge Rate with ICD Z01811 - Encounter for preprocedural respiratory examination | 11.61 | ||||
| Home Discharge Rate at DRG | 35.21 | ||||
| Home Discharge Rate with ICD Z01811 - Encounter for preprocedural respiratory examination | 24.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 235: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 039: EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,741 | ||||
| Total Hospitalizations with ICD Z01811 - Encounter for preprocedural respiratory examination | 56 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD Z01811 - Encounter for preprocedural respiratory examination in DRG | 1.52 | ||||
| Avg LOS at DRG | 9.93 | ||||
| Avg LOS with ICD Z01811 - Encounter for preprocedural respiratory examination | 6.55 | ||||
| Readmission Rate at DRG | 29.41 | ||||
| Readmission Rate with ICD Z01811 - Encounter for preprocedural respiratory examination | NA | ||||
| Unplanned Readmission Rate at DRG | 10.75 | ||||
| Unplanned Readmission Rate with ICD Z01811 - Encounter for preprocedural respiratory examination | NA | ||||
| Total Medicare payments at DRG | $1,189,879,422 | ||||
| Total Medicare payments with ICD Z01811 - Encounter for preprocedural respiratory examination | $1,792,914 | ||||
| Total Medicare payment per Day at DRG | $3,776 | ||||
| Total Medicare payment per Day with ICD Z01811 - Encounter for preprocedural respiratory examination | $4,885 | ||||
| Total Medicare payment per Hospitalization at DRG | $37,487 | ||||
| Total Medicare payment per Hospitalization with ICD Z01811 - Encounter for preprocedural respiratory examination | $32,016 | ||||
| Total Medicare Charges at DRG | $6,309,081,458 | ||||
| Total Medicare Charges with ICD Z01811 - Encounter for preprocedural respiratory examination | $9,127,021 | ||||
| Avg Charges at DRG | $198,768 | ||||
| Avg Charges with ICD Z01811 - Encounter for preprocedural respiratory examination | $162,983 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD Z01811 - Encounter for preprocedural respiratory examination | NA | ||||
| SNF Discharge Rate at DRG | 21.05 | ||||
| SNF Discharge Rate with ICD Z01811 - Encounter for preprocedural respiratory examination | 25.0 | ||||
| Home Discharge Rate at DRG | 24.23 | ||||
| Home Discharge Rate with ICD Z01811 - Encounter for preprocedural respiratory examination | 25.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 269: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 038: EXTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,598 | ||||
| Total Hospitalizations with ICD Z01811 - Encounter for preprocedural respiratory examination | 39 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD Z01811 - Encounter for preprocedural respiratory examination in DRG | 1.06 | ||||
| Avg LOS at DRG | 2.56 | ||||
| Avg LOS with ICD Z01811 - Encounter for preprocedural respiratory examination | 1.69 | ||||
| Readmission Rate at DRG | 13.58 | ||||
| Readmission Rate with ICD Z01811 - Encounter for preprocedural respiratory examination | NA | ||||
| Unplanned Readmission Rate at DRG | 5.0 | ||||
| Unplanned Readmission Rate with ICD Z01811 - Encounter for preprocedural respiratory examination | NA | ||||
| Total Medicare payments at DRG | $405,277,239 | ||||
| Total Medicare payments with ICD Z01811 - Encounter for preprocedural respiratory examination | $338,328 | ||||
| Total Medicare payment per Day at DRG | $3,633 | ||||
| Total Medicare payment per Day with ICD Z01811 - Encounter for preprocedural respiratory examination | $5,126 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,296 | ||||
| Total Medicare payment per Hospitalization with ICD Z01811 - Encounter for preprocedural respiratory examination | $8,675 | ||||
| Total Medicare Charges at DRG | $2,108,105,162 | ||||
| Total Medicare Charges with ICD Z01811 - Encounter for preprocedural respiratory examination | $1,517,713 | ||||
| Avg Charges at DRG | $48,353 | ||||
| Avg Charges with ICD Z01811 - Encounter for preprocedural respiratory examination | $38,916 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z01811 - Encounter for preprocedural respiratory examination | NA | ||||
| SNF Discharge Rate at DRG | 16.27 | ||||
| SNF Discharge Rate with ICD Z01811 - Encounter for preprocedural respiratory examination | NA | ||||
| Home Discharge Rate at DRG | 57.43 | ||||
| Home Discharge Rate with ICD Z01811 - Encounter for preprocedural respiratory examination | 76.92 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYLOR SURGICAL HOSPITAL AT FORT WORTH | 1800 PARK PLACE AVE | FORT WORTH | TX | 76110 | 566 |
| BAYLOR ORTHOPEDIC AND SPINE HOSPITAL AT ARLINGTON | 707 HIGHLANDER BLVD | ARLINGTON | TX | 76015 | 326 |
| BAYLOR SCOTT & WHITE SURGICAL HOSPITAL AT SHERMA | 3601 CALAIS STREET | SHERMAN | TX | 75090 | 293 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ERIC S. WIESER | 800 ORTHOPEDIC WAY | ARLINGTON | TX | 76015 | 107 |
| Dr. RICHARD D JELSMA | 425 N HIGHLAND AVE | SHERMAN | TX | 75092 | 98 |
| Dr. BRADLEY JOE REDDICK | 8100 S WALKER AVE | OKLAHOMA CITY | OK | 73139 | 93 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ERIC S. WIESER | 800 ORTHOPEDIC WAY | ARLINGTON | TX | 76015 | 110 |
| Dr. RICHARD D JELSMA | 425 N HIGHLAND AVE | SHERMAN | TX | 75092 | 98 |
| Dr. BRADLEY JOE REDDICK | 8100 S WALKER AVE | OKLAHOMA CITY | OK | 73139 | 93 |