*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z23 - Encounter for immunization - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.93 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z23 - Encounter for immunization | 48,861 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z23 - Encounter for immunization in DRG | 5.85 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z23 - Encounter for immunization | 6.28 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z23 - Encounter for immunization | 21.66 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z23 - Encounter for immunization | 14.75 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z23 - Encounter for immunization | $548,958,230 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z23 - Encounter for immunization | $1,789 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z23 - Encounter for immunization | $11,235 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z23 - Encounter for immunization | $2,810,103,874 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z23 - Encounter for immunization | $57,512 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z23 - Encounter for immunization | 3.23 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z23 - Encounter for immunization | 28.97 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z23 - Encounter for immunization | 34.36 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD Z23 - Encounter for immunization | 15,340 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD Z23 - Encounter for immunization in DRG | 1.84 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD Z23 - Encounter for immunization | 4.85 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z23 - Encounter for immunization | 22.63 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD Z23 - Encounter for immunization | 17.31 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD Z23 - Encounter for immunization | $116,773,367 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD Z23 - Encounter for immunization | $1,570 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD Z23 - Encounter for immunization | $7,612 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD Z23 - Encounter for immunization | $604,084,603 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD Z23 - Encounter for immunization | $39,380 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD Z23 - Encounter for immunization | 1.22 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD Z23 - Encounter for immunization | 15.6 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD Z23 - Encounter for immunization | 51.98 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z23 - Encounter for immunization | 12,551 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z23 - Encounter for immunization in DRG | 1.5 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z23 - Encounter for immunization | 3.8 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z23 - Encounter for immunization | 13.95 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z23 - Encounter for immunization | 10.26 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z23 - Encounter for immunization | $71,560,877 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z23 - Encounter for immunization | $1,501 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z23 - Encounter for immunization | $5,702 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z23 - Encounter for immunization | $361,008,999 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z23 - Encounter for immunization | $28,763 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z23 - Encounter for immunization | 0.2 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z23 - Encounter for immunization | 16.02 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z23 - Encounter for immunization | 58.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD Z23 - Encounter for immunization | 10,761 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD Z23 - Encounter for immunization in DRG | 1.29 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD Z23 - Encounter for immunization | 3.57 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD Z23 - Encounter for immunization | 15.69 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD Z23 - Encounter for immunization | 12.12 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD Z23 - Encounter for immunization | $61,665,781 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD Z23 - Encounter for immunization | $1,605 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD Z23 - Encounter for immunization | $5,730 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD Z23 - Encounter for immunization | $365,519,879 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD Z23 - Encounter for immunization | $33,967 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD Z23 - Encounter for immunization | 0.25 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD Z23 - Encounter for immunization | 12.74 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD Z23 - Encounter for immunization | 67.31 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 8,006 |
| NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 5,306 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 4,634 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 196 |
| Dr. GEORGES S YACOUB | 3006 N. CO. RD 25A STE 102 | TROY | OH | 45373 | 178 |
| Dr. BRYAN E FLUECKIGER | 1500 N OAKLAND AVE | BOLIVAR | MO | 65613 | 154 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 476 |
| Dr. ALVIN JAMES MILLER | 534 MUNFORD AVE | MUNFORD | TN | 38058 | 345 |
| Dr. AZIZ U RAHMAN | 1050 M L KING DR | CENTRALIA | IL | 62801 | 266 |