*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z2821 - Immunization not carried out because of patient refusal - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.78 | |
| 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 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z2821 - Immunization not carried out because of patient refusal | 6,520 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z2821 - Immunization not carried out because of patient refusal in DRG | 4.67 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z2821 - Immunization not carried out because of patient refusal | 5.77 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z2821 - Immunization not carried out because of patient refusal | 21.02 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z2821 - Immunization not carried out because of patient refusal | 14.72 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z2821 - Immunization not carried out because of patient refusal | $75,390,888 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z2821 - Immunization not carried out because of patient refusal | $2,004 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z2821 - Immunization not carried out because of patient refusal | $11,563 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z2821 - Immunization not carried out because of patient refusal | $368,761,453 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z2821 - Immunization not carried out because of patient refusal | $56,559 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z2821 - Immunization not carried out because of patient refusal | 4.52 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z2821 - Immunization not carried out because of patient refusal | 24.22 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z2821 - Immunization not carried out because of patient refusal | 36.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z2821 - Immunization not carried out because of patient refusal | 2,222 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z2821 - Immunization not carried out because of patient refusal in DRG | 1.59 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z2821 - Immunization not carried out because of patient refusal | 4.11 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z2821 - Immunization not carried out because of patient refusal | 17.93 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z2821 - Immunization not carried out because of patient refusal | 12.67 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z2821 - Immunization not carried out because of patient refusal | $14,962,529 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z2821 - Immunization not carried out because of patient refusal | $1,637 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z2821 - Immunization not carried out because of patient refusal | $6,734 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z2821 - Immunization not carried out because of patient refusal | $80,741,054 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z2821 - Immunization not carried out because of patient refusal | $36,337 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z2821 - Immunization not carried out because of patient refusal | 0.54 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z2821 - Immunization not carried out because of patient refusal | 16.43 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z2821 - Immunization not carried out because of patient refusal | 57.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD Z2821 - Immunization not carried out because of patient refusal | 1,858 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD Z2821 - Immunization not carried out because of patient refusal in DRG | 1.33 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD Z2821 - Immunization not carried out because of patient refusal | 4.0 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD Z2821 - Immunization not carried out because of patient refusal | 23.61 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD Z2821 - Immunization not carried out because of patient refusal | 18.5 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD Z2821 - Immunization not carried out because of patient refusal | $11,612,111 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD Z2821 - Immunization not carried out because of patient refusal | $1,563 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD Z2821 - Immunization not carried out because of patient refusal | $6,250 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD Z2821 - Immunization not carried out because of patient refusal | $61,958,654 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD Z2821 - Immunization not carried out because of patient refusal | $33,347 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD Z2821 - Immunization not carried out because of patient refusal | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD Z2821 - Immunization not carried out because of patient refusal | 14.21 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD Z2821 - Immunization not carried out because of patient refusal | 53.77 |
*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 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD Z2821 - Immunization not carried out because of patient refusal | 1,742 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z2821 - Immunization not carried out because of patient refusal in DRG | 1.25 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD Z2821 - Immunization not carried out because of patient refusal | 3.91 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD Z2821 - Immunization not carried out because of patient refusal | 14.9 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD Z2821 - Immunization not carried out because of patient refusal | 9.93 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD Z2821 - Immunization not carried out because of patient refusal | $9,329,124 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD Z2821 - Immunization not carried out because of patient refusal | $1,371 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD Z2821 - Immunization not carried out because of patient refusal | $5,355 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD Z2821 - Immunization not carried out because of patient refusal | $47,068,821 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD Z2821 - Immunization not carried out because of patient refusal | $27,020 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Z2821 - Immunization not carried out because of patient refusal | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD Z2821 - Immunization not carried out because of patient refusal | 14.81 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD Z2821 - Immunization not carried out because of patient refusal | 58.38 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 3,382 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 3,352 |
| LONG ISLAND JEWISH MEDICAL CENTER | 270-05 76 AVE | NEW HYDE PARK | NY | 11040 | 2,824 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HAYMAN RAMBARAN | 230 E RIDGEWOOD AVE | PARAMUS | NJ | 07652 | 234 |
| Dr. ROBERT LEON MASSON | 2706 REW CIR | OCOEE | FL | 34761 | 132 |
| Dr. JAPHET G JOSEPH | 714 S TRUMBULL ST | BAY CITY | MI | 48708 | 97 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MOHOMMED A MERCHANT | 1950 LEE RD | WINTER PARK | FL | 32278 | 701 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 468 |
| Dr. SAYYID S RAZA | 5000 MAPLE ST. | FAIRGROVE | MI | 48733 | 251 |