*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z114 - Encounter for screening for human immunodeficiency virus [HIV] - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.45 | |
| 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 652: KIDNEY TRANSPLANT | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 Z114 - Encounter for screening for human immunodeficiency virus [HIV] | 247 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] in DRG | 17.42 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | 11.57 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | 22.92 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | 14.17 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | $1,897,367 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | $664 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | $7,682 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | $6,679,712 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | $27,043 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | 91.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 881: DEPRESSIVE NEUROSES | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 61,417 | ||||
| Total Hospitalizations with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | 26 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] in DRG | 1.83 | ||||
| Avg LOS at DRG | 7.49 | ||||
| Avg LOS with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | 6.23 | ||||
| Readmission Rate at DRG | 25.08 | ||||
| Readmission Rate with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | NA | ||||
| Unplanned Readmission Rate at DRG | 13.22 | ||||
| Unplanned Readmission Rate with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | NA | ||||
| Total Medicare payments at DRG | $347,280,742 | ||||
| Total Medicare payments with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | $118,646 | ||||
| Total Medicare payment per Day at DRG | $755 | ||||
| Total Medicare payment per Day with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | $732 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,654 | ||||
| Total Medicare payment per Hospitalization with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | $4,563 | ||||
| Total Medicare Charges at DRG | $1,287,801,202 | ||||
| Total Medicare Charges with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | $398,381 | ||||
| Avg Charges at DRG | $20,968 | ||||
| Avg Charges with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | $15,322 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | NA | ||||
| SNF Discharge Rate at DRG | 5.44 | ||||
| SNF Discharge Rate with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | NA | ||||
| Home Discharge Rate at DRG | 79.31 | ||||
| Home Discharge Rate with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | 88.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | 17 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] in DRG | 1.2 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | 1.41 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | NA | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | NA | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | $390,644 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | $16,277 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | $22,979 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | $1,470,815 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | $86,519 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | NA | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | 94.12 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | 13 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] in DRG | 0.92 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | 11.92 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | NA | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | NA | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | $425,196 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | $2,743 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | $32,707 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | $2,251,467 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | $173,190 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | NA | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | NA | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD Z114 - Encounter for screening for human immunodeficiency virus [HIV] | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY HOSPITAL SUNY HEALTH SCIENCE CENTER | 750 E ADAMS ST | SYRACUSE | NY | 13210 | 571 |
| CLAXTON-HEPBURN MEDICAL CENTER | 214 KING ST | OGDENSBURG | NY | 13669 | 78 |
| ARROWHEAD REGIONAL MEDICAL CENTER | 400 N PEPPER AVE | COLTON | CA | 92324 | 77 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TAMER AYAD MALIK | 8167 NORMANDY CREEK DR | DAYTON | OH | 45458 | 31 |
| Dr. DHRUV B MODI | 214 KING ST | OGDENSBURG | NY | 13669 | 30 |
| Dr. LLOYD SIMON | 44210 COUNTY ROAD 48 | SOUTHOLD | NY | 11971 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LLOYD SIMON | 44210 COUNTY ROAD 48 | SOUTHOLD | NY | 11971 | 30 |
| Dr. JAVIER F YAHYA VARGAS | 75 BEEKMAN ST | PLATTSBURGH | NY | 12901 | 29 |
| Dr. TAMER AYAD MALIK | 8167 NORMANDY CREEK DR | DAYTON | OH | 45458 | 29 |