*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status - as a primary diagnosis code | Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 5.4 | |
Readmission Rate (%) | 28.21 | |
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 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|
Total Hospitalizations at DRG | 22,681 |
Total Hospitalizations with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 13 |
DRG Share of Total Hospitalizations | 0.07 |
% of Total ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status in DRG | 54.17 |
Avg LOS at DRG | 3.32 |
Avg LOS with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 2.77 |
Readmission Rate at DRG | 14.18 |
Readmission Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | NA |
Unplanned Readmission Rate at DRG | 9.63 |
Unplanned Readmission Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | NA |
Total Medicare payments at DRG | $111,849,779 |
Total Medicare payments with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $74,378 |
Total Medicare payment per Day at DRG | $1,485 |
Total Medicare payment per Day with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $2,066 |
Total Medicare payment per Hospitalization at DRG | $4,931 |
Total Medicare payment per Hospitalization with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $5,721 |
Total Medicare Charges at DRG | $627,694,196 |
Total Medicare Charges with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $310,819 |
Avg Charges at DRG | $27,675 |
Avg Charges with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $23,909 |
Mortality Rate at DRG | 0.09 |
Mortality Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | NA |
SNF Discharge Rate at DRG | 11.69 |
SNF Discharge Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | NA |
Home Discharge Rate at DRG | 67.65 |
Home Discharge Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | NA |
*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 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,100,860 | ||||
Total Hospitalizations with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 9,029 | ||||
DRG Share of Total Hospitalizations | 3.35 | ||||
% of Total ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status in DRG | 11.0 | ||||
Avg LOS at DRG | 11.86 | ||||
Avg LOS with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 9.22 | ||||
Readmission Rate at DRG | 27.58 | ||||
Readmission Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 37.57 | ||||
Unplanned Readmission Rate at DRG | 13.34 | ||||
Unplanned Readmission Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 19.74 | ||||
Total Medicare payments at DRG | $9,312,828,663 | ||||
Total Medicare payments with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $63,230,764 | ||||
Total Medicare payment per Day at DRG | $713 | ||||
Total Medicare payment per Day with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $760 | ||||
Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
Total Medicare payment per Hospitalization with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $7,003 | ||||
Total Medicare Charges at DRG | $32,341,464,302 | ||||
Total Medicare Charges with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $236,265,506 | ||||
Avg Charges at DRG | $29,378 | ||||
Avg Charges with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $26,167 | ||||
Mortality Rate at DRG | 0.04 | ||||
Mortality Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | NA | ||||
SNF Discharge Rate at DRG | 5.83 | ||||
SNF Discharge Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 2.07 | ||||
Home Discharge Rate at DRG | 79.47 | ||||
Home Discharge Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 86.55 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,522,684 | ||||
Total Hospitalizations with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 1,449 | ||||
DRG Share of Total Hospitalizations | 4.63 | ||||
% of Total ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status in DRG | 1.76 | ||||
Avg LOS at DRG | 2.52 | ||||
Avg LOS with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 2.73 | ||||
Readmission Rate at DRG | 9.03 | ||||
Readmission Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 11.68 | ||||
Unplanned Readmission Rate at DRG | 3.35 | ||||
Unplanned Readmission Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 5.45 | ||||
Total Medicare payments at DRG | $17,672,828,347 | ||||
Total Medicare payments with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $19,173,731 | ||||
Total Medicare payment per Day at DRG | $4,606 | ||||
Total Medicare payment per Day with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $4,842 | ||||
Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
Total Medicare payment per Hospitalization with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $13,232 | ||||
Total Medicare Charges at DRG | $91,836,200,128 | ||||
Total Medicare Charges with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $97,821,956 | ||||
Avg Charges at DRG | $60,312 | ||||
Avg Charges with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $67,510 | ||||
Mortality Rate at DRG | 0.05 | ||||
Mortality Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | NA | ||||
SNF Discharge Rate at DRG | 23.53 | ||||
SNF Discharge Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 20.91 | ||||
Home Discharge Rate at DRG | 30.67 | ||||
Home Discharge Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 23.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 364,421 | ||||
Total Hospitalizations with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 1,118 | ||||
DRG Share of Total Hospitalizations | 1.11 | ||||
% of Total ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status in DRG | 1.36 | ||||
Avg LOS at DRG | 3.97 | ||||
Avg LOS with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 3.35 | ||||
Readmission Rate at DRG | 16.14 | ||||
Readmission Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 16.1 | ||||
Unplanned Readmission Rate at DRG | 10.98 | ||||
Unplanned Readmission Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 11.38 | ||||
Total Medicare payments at DRG | $1,924,528,848 | ||||
Total Medicare payments with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $6,466,269 | ||||
Total Medicare payment per Day at DRG | $1,332 | ||||
Total Medicare payment per Day with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $1,725 | ||||
Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
Total Medicare payment per Hospitalization with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $5,784 | ||||
Total Medicare Charges at DRG | $8,912,106,420 | ||||
Total Medicare Charges with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $30,068,847 | ||||
Avg Charges at DRG | $24,456 | ||||
Avg Charges with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $26,895 | ||||
Mortality Rate at DRG | 0.09 | ||||
Mortality Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | NA | ||||
SNF Discharge Rate at DRG | 15.72 | ||||
SNF Discharge Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 5.99 | ||||
Home Discharge Rate at DRG | 53.33 | ||||
Home Discharge Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 66.01 |
*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 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 313: CHEST PAIN | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 539,642 | ||||
Total Hospitalizations with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 975 | ||||
DRG Share of Total Hospitalizations | 1.64 | ||||
% of Total ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status in DRG | 1.19 | ||||
Avg LOS at DRG | 6.42 | ||||
Avg LOS with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 4.67 | ||||
Readmission Rate at DRG | 26.55 | ||||
Readmission Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 33.03 | ||||
Unplanned Readmission Rate at DRG | 20.01 | ||||
Unplanned Readmission Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 28.67 | ||||
Total Medicare payments at DRG | $5,267,842,463 | ||||
Total Medicare payments with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $8,785,925 | ||||
Total Medicare payment per Day at DRG | $1,520 | ||||
Total Medicare payment per Day with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $1,928 | ||||
Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
Total Medicare payment per Hospitalization with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $9,011 | ||||
Total Medicare Charges at DRG | $25,503,568,329 | ||||
Total Medicare Charges with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $37,298,568 | ||||
Avg Charges at DRG | $47,260 | ||||
Avg Charges with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | $38,255 | ||||
Mortality Rate at DRG | 5.62 | ||||
Mortality Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 1.95 | ||||
SNF Discharge Rate at DRG | 19.26 | ||||
SNF Discharge Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 10.56 | ||||
Home Discharge Rate at DRG | 39.65 | ||||
Home Discharge Rate with ICD Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status | 58.46 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
MEDSTAR WASHINGTON HOSPITAL CENTER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 676 |
THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 618 |
ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 507 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 377 |
Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 82 |
Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 79 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 396 |
Dr. EMILIO MANTERO ATIENZA | 1200 ALTON RD | MIAMI BEACH | FL | 33139 | 99 |
Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 94 |