*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z111 - Encounter for screening for respiratory tuberculosis - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 10.41 | |
| 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 885: PSYCHOSES | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z111 - Encounter for screening for respiratory tuberculosis | 2,749 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z111 - Encounter for screening for respiratory tuberculosis in DRG | 18.85 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z111 - Encounter for screening for respiratory tuberculosis | 14.69 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z111 - Encounter for screening for respiratory tuberculosis | 26.4 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z111 - Encounter for screening for respiratory tuberculosis | 9.51 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z111 - Encounter for screening for respiratory tuberculosis | $33,785,581 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z111 - Encounter for screening for respiratory tuberculosis | $837 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z111 - Encounter for screening for respiratory tuberculosis | $12,290 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z111 - Encounter for screening for respiratory tuberculosis | $142,423,668 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z111 - Encounter for screening for respiratory tuberculosis | $51,809 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z111 - Encounter for screening for respiratory tuberculosis | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z111 - Encounter for screening for respiratory tuberculosis | 5.42 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z111 - Encounter for screening for respiratory tuberculosis | 70.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD Z111 - Encounter for screening for respiratory tuberculosis | 355 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD Z111 - Encounter for screening for respiratory tuberculosis in DRG | 2.43 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD Z111 - Encounter for screening for respiratory tuberculosis | 13.83 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD Z111 - Encounter for screening for respiratory tuberculosis | 19.21 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD Z111 - Encounter for screening for respiratory tuberculosis | 8.84 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD Z111 - Encounter for screening for respiratory tuberculosis | $4,510,795 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD Z111 - Encounter for screening for respiratory tuberculosis | $919 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD Z111 - Encounter for screening for respiratory tuberculosis | $12,706 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD Z111 - Encounter for screening for respiratory tuberculosis | $9,942,622 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD Z111 - Encounter for screening for respiratory tuberculosis | $28,007 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD Z111 - Encounter for screening for respiratory tuberculosis | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD Z111 - Encounter for screening for respiratory tuberculosis | 33.24 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD Z111 - Encounter for screening for respiratory tuberculosis | 41.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z111 - Encounter for screening for respiratory tuberculosis | 233 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z111 - Encounter for screening for respiratory tuberculosis in DRG | 1.6 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z111 - Encounter for screening for respiratory tuberculosis | 4.81 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z111 - Encounter for screening for respiratory tuberculosis | 29.2 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z111 - Encounter for screening for respiratory tuberculosis | 10.18 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z111 - Encounter for screening for respiratory tuberculosis | $1,211,127 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z111 - Encounter for screening for respiratory tuberculosis | $1,080 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z111 - Encounter for screening for respiratory tuberculosis | $5,198 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z111 - Encounter for screening for respiratory tuberculosis | $5,013,012 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z111 - Encounter for screening for respiratory tuberculosis | $21,515 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z111 - Encounter for screening for respiratory tuberculosis | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z111 - Encounter for screening for respiratory tuberculosis | 43.78 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z111 - Encounter for screening for respiratory tuberculosis | 17.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD Z111 - Encounter for screening for respiratory tuberculosis | 138 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD Z111 - Encounter for screening for respiratory tuberculosis in DRG | 0.95 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD Z111 - Encounter for screening for respiratory tuberculosis | 7.01 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z111 - Encounter for screening for respiratory tuberculosis | 39.69 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD Z111 - Encounter for screening for respiratory tuberculosis | 22.14 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD Z111 - Encounter for screening for respiratory tuberculosis | $1,149,724 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD Z111 - Encounter for screening for respiratory tuberculosis | $1,189 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD Z111 - Encounter for screening for respiratory tuberculosis | $8,331 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD Z111 - Encounter for screening for respiratory tuberculosis | $6,341,121 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD Z111 - Encounter for screening for respiratory tuberculosis | $45,950 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD Z111 - Encounter for screening for respiratory tuberculosis | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD Z111 - Encounter for screening for respiratory tuberculosis | 36.23 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD Z111 - Encounter for screening for respiratory tuberculosis | 16.67 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SELF REGIONAL HEALTHCARE | 1325 SPRING ST | GREENWOOD | SC | 29646 | 4,076 |
| MISSISSIPPI BAPTIST MEDICAL CENTER | 1225 N STATE ST | JACKSON | MS | 39202 | 2,119 |
| BARNABAS BEHAVIORAL HEALTH CENTER | 1691 ROUTE 9 | TOMS RIVER | NJ | 08755 | 838 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DARRIN RICHARD MANGIACARNE | 5060 VALLEY VIEW BLVD NW | ROANOKE | VA | 24012 | 676 |
| Dr. HAYMAN RAMBARAN | 230 E RIDGEWOOD AVE | PARAMUS | NJ | 07652 | 376 |
| Dr. DOUGLAS F POWELL | 102 GREGOR MENDEL CIR | GREENWOOD | SC | 29646 | 221 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DARRIN RICHARD MANGIACARNE | 5060 VALLEY VIEW BLVD NW | ROANOKE | VA | 24012 | 680 |
| Dr. MICHAEL ANTHONY BURKE | 5454 YORKTOWNE DR | ATLANTA | GA | 30349 | 575 |
| Dr. HAYMAN RAMBARAN | 230 E RIDGEWOOD AVE | PARAMUS | NJ | 07652 | 375 |