*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z289 - Immunization not carried out for unspecified reason - 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH 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 | 1,522,684 | ||||
| Total Hospitalizations with ICD Z289 - Immunization not carried out for unspecified reason | 1,126 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z289 - Immunization not carried out for unspecified reason in DRG | 7.61 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z289 - Immunization not carried out for unspecified reason | 2.37 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z289 - Immunization not carried out for unspecified reason | 9.63 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z289 - Immunization not carried out for unspecified reason | 3.21 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z289 - Immunization not carried out for unspecified reason | $11,994,983 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z289 - Immunization not carried out for unspecified reason | $4,491 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z289 - Immunization not carried out for unspecified reason | $10,653 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z289 - Immunization not carried out for unspecified reason | $101,502,415 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z289 - Immunization not carried out for unspecified reason | $90,144 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z289 - Immunization not carried out for unspecified reason | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z289 - Immunization not carried out for unspecified reason | 17.23 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z289 - Immunization not carried out for unspecified reason | 65.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z289 - Immunization not carried out for unspecified reason | 220 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z289 - Immunization not carried out for unspecified reason in DRG | 1.49 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z289 - Immunization not carried out for unspecified reason | 3.26 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z289 - Immunization not carried out for unspecified reason | 15.81 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z289 - Immunization not carried out for unspecified reason | 10.23 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z289 - Immunization not carried out for unspecified reason | $815,747 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z289 - Immunization not carried out for unspecified reason | $1,136 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z289 - Immunization not carried out for unspecified reason | $3,708 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z289 - Immunization not carried out for unspecified reason | $8,294,642 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z289 - Immunization not carried out for unspecified reason | $37,703 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z289 - Immunization not carried out for unspecified reason | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z289 - Immunization not carried out for unspecified reason | 26.36 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z289 - Immunization not carried out for unspecified reason | 41.82 |
*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 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z289 - Immunization not carried out for unspecified reason | 198 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z289 - Immunization not carried out for unspecified reason in DRG | 1.34 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z289 - Immunization not carried out for unspecified reason | 3.86 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z289 - Immunization not carried out for unspecified reason | 16.06 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z289 - Immunization not carried out for unspecified reason | 12.95 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z289 - Immunization not carried out for unspecified reason | $911,380 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z289 - Immunization not carried out for unspecified reason | $1,193 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z289 - Immunization not carried out for unspecified reason | $4,603 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z289 - Immunization not carried out for unspecified reason | $9,102,456 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z289 - Immunization not carried out for unspecified reason | $45,972 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z289 - Immunization not carried out for unspecified reason | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z289 - Immunization not carried out for unspecified reason | 18.69 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z289 - Immunization not carried out for unspecified reason | 50.51 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD Z289 - Immunization not carried out for unspecified reason | 164 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD Z289 - Immunization not carried out for unspecified reason in DRG | 1.11 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD Z289 - Immunization not carried out for unspecified reason | 3.16 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD Z289 - Immunization not carried out for unspecified reason | 34.84 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD Z289 - Immunization not carried out for unspecified reason | 8.39 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD Z289 - Immunization not carried out for unspecified reason | $854,690 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD Z289 - Immunization not carried out for unspecified reason | $1,650 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD Z289 - Immunization not carried out for unspecified reason | $5,212 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD Z289 - Immunization not carried out for unspecified reason | $8,739,957 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD Z289 - Immunization not carried out for unspecified reason | $53,292 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD Z289 - Immunization not carried out for unspecified reason | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD Z289 - Immunization not carried out for unspecified reason | 18.9 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD Z289 - Immunization not carried out for unspecified reason | 32.32 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| DELRAY MEDICAL CENTER | 5352 LINTON BLVD | DELRAY BEACH | FL | 33484 | 5,285 |
| ORO VALLEY HOSPITAL | 1551 E TANGERINE RD | ORO VALLEY | AZ | 85755 | 4,314 |
| SAINT CLARE'S DENVILLE HOSPITAL | 25 POCONO RD | DENVILLE | NJ | 07834 | 921 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL DAVID MILLER | 1555 E RIVER RD | TUCSON | AZ | 85718 | 383 |
| Dr. KEVIN W BOWERS | 1521 E TANGERINE RD STE 101 | ORO VALLEY | AZ | 85755 | 248 |
| Dr. KIMBERLY KARIN TUCKER | 1521 E TANGERINE RD | ORO VALLEY | AZ | 85755 | 183 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRIAN S CHASIN | 60 PROSPECT AVE | MIDDLETOWN | NY | 10940 | 483 |
| Dr. STEPHEN J RUFFENACH | 6200 N LA CHOLLA BLVD | TUCSON | AZ | 85741 | 433 |
| Dr. MICHAEL DAVID MILLER | 1555 E RIVER RD | TUCSON | AZ | 85718 | 376 |