*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 16.05 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | 162 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] in DRG | 19.13 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | 9.79 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | 35.71 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | 17.53 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | $1,493,326 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | $942 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | $9,218 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | $5,123,911 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | $31,629 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | 8.02 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | 75.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | |
| Total Hospitalizations with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | 12 | |
| DRG Share of Total Hospitalizations | 3.08 | |
| % of Total ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] in DRG | 1.42 | |
| Avg LOS at DRG | 5.34 | |
| Avg LOS with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | 3.5 | |
| Readmission Rate at DRG | 28.25 | |
| Readmission Rate with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | NA | |
| Unplanned Readmission Rate at DRG | 21.93 | |
| Unplanned Readmission Rate with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | NA | |
| Total Medicare payments at DRG | $9,469,067,156 | |
| Total Medicare payments with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | $143,964 | |
| Total Medicare payment per Day at DRG | $1,751 | |
| Total Medicare payment per Day with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | $3,428 | |
| Total Medicare payment per Hospitalization at DRG | $9,340 | |
| Total Medicare payment per Hospitalization with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | $11,997 | |
| Total Medicare Charges at DRG | $43,343,716,813 | |
| Total Medicare Charges with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | $469,053 | |
| Avg Charges at DRG | $42,755 | |
| Avg Charges with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | $39,088 | |
| Mortality Rate at DRG | 3.72 | |
| Mortality Rate with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | NA | |
| SNF Discharge Rate at DRG | 20.84 | |
| SNF Discharge Rate with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | NA | |
| Home Discharge Rate at DRG | 37.68 | |
| Home Discharge Rate with ICD Z206 - Contact with and (suspected) exposure to human immunodeficiency virus [HIV] | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SCRIPPS MERCY HOSPITAL | 4077 5TH AVE | SAN DIEGO | CA | 92103 | 122 |
| WHITE MEMORIAL MEDICAL CENTER | 1720 E CESAR E CHAVEZ AVE | LOS ANGELES | CA | 90033 | 31 |
| LONG BEACH MEMORIAL MEDICAL CENTER | 2801 ATLANTIC AVE | LONG BEACH | CA | 90806 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL HERNANDEZ | 1720 E CESAR E CHAVEZ AVE | LOS ANGELES | CA | 90033 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL HERNANDEZ | 1720 E CESAR E CHAVEZ AVE | LOS ANGELES | CA | 90033 | 13 |