*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z298 - Encounter for other specified prophylactic measures - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.04 | |
| 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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD Z298 - Encounter for other specified prophylactic measures | 584 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD Z298 - Encounter for other specified prophylactic measures in DRG | 9.06 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD Z298 - Encounter for other specified prophylactic measures | 16.78 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD Z298 - Encounter for other specified prophylactic measures | 12.63 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD Z298 - Encounter for other specified prophylactic measures | 11.2 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD Z298 - Encounter for other specified prophylactic measures | $15,232,757 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD Z298 - Encounter for other specified prophylactic measures | $1,554 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD Z298 - Encounter for other specified prophylactic measures | $26,083 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD Z298 - Encounter for other specified prophylactic measures | $26,941,506 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD Z298 - Encounter for other specified prophylactic measures | $46,133 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD Z298 - Encounter for other specified prophylactic measures | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD Z298 - Encounter for other specified prophylactic measures | 33.39 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD Z298 - Encounter for other specified prophylactic measures | 15.07 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD Z298 - Encounter for other specified prophylactic measures | 254 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD Z298 - Encounter for other specified prophylactic measures in DRG | 3.94 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD Z298 - Encounter for other specified prophylactic measures | 12.83 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD Z298 - Encounter for other specified prophylactic measures | 8.1 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD Z298 - Encounter for other specified prophylactic measures | 6.67 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD Z298 - Encounter for other specified prophylactic measures | $5,760,811 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD Z298 - Encounter for other specified prophylactic measures | $1,768 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD Z298 - Encounter for other specified prophylactic measures | $22,680 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD Z298 - Encounter for other specified prophylactic measures | $14,491,309 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD Z298 - Encounter for other specified prophylactic measures | $57,052 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD Z298 - Encounter for other specified prophylactic measures | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD Z298 - Encounter for other specified prophylactic measures | 19.29 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD Z298 - Encounter for other specified prophylactic measures | 19.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 066: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD Z298 - Encounter for other specified prophylactic measures | 132 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z298 - Encounter for other specified prophylactic measures in DRG | 2.05 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD Z298 - Encounter for other specified prophylactic measures | 13.72 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD Z298 - Encounter for other specified prophylactic measures | 12.62 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD Z298 - Encounter for other specified prophylactic measures | 11.65 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD Z298 - Encounter for other specified prophylactic measures | $3,353,310 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD Z298 - Encounter for other specified prophylactic measures | $1,852 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD Z298 - Encounter for other specified prophylactic measures | $25,404 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD Z298 - Encounter for other specified prophylactic measures | $9,442,946 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD Z298 - Encounter for other specified prophylactic measures | $71,537 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD Z298 - Encounter for other specified prophylactic measures | NA | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD Z298 - Encounter for other specified prophylactic measures | 10.61 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD Z298 - Encounter for other specified prophylactic measures | 16.67 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 055: NERVOUS SYSTEM NEOPLASMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH 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 | 1,808,415 | ||||
| Total Hospitalizations with ICD Z298 - Encounter for other specified prophylactic measures | 88 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z298 - Encounter for other specified prophylactic measures in DRG | 1.36 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z298 - Encounter for other specified prophylactic measures | 7.02 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z298 - Encounter for other specified prophylactic measures | 28.99 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z298 - Encounter for other specified prophylactic measures | 17.39 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z298 - Encounter for other specified prophylactic measures | $1,136,160 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z298 - Encounter for other specified prophylactic measures | $1,838 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z298 - Encounter for other specified prophylactic measures | $12,911 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z298 - Encounter for other specified prophylactic measures | $4,448,249 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z298 - Encounter for other specified prophylactic measures | $50,548 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z298 - Encounter for other specified prophylactic measures | 13.64 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z298 - Encounter for other specified prophylactic measures | 17.05 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z298 - Encounter for other specified prophylactic measures | 27.27 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| KESSLER INSTITUTE FOR REHABILITATION | 1199 PLEASANT VALLEY WAY | WEST ORANGE | NJ | 07052 | 4,579 |
| LOGAN REGIONAL MEDICAL CENTER | 20 HOSPITAL DR | LOGAN | WV | 25601 | 772 |
| NATIVIDAD MEDICAL CENTER | 1441 CONSTITUTION BLVD | SALINAS | CA | 93906 | 198 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SALEM | 20 HOSPITAL DR | LOGAN | WV | 25601 | 42 |
| Dr. JAMES CHARLTON PAUGH | 20 HOSPITAL DR | LOGAN | WV | 25601 | 20 |
| Dr. KAMEL ATTEF MARZOUK | 20 HOSPITAL DR | LOGAN | WV | 25601 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS LAMMERTSE | 201 PLEASANT HILL RD | CHESTER | NJ | 07930 | 647 |
| Dr. KAREN LYNN KEPLER | 30 BERGEN ST | NEWARK | NJ | 07107 | 545 |
| Dr. JASON GEORGEKUTTY | 201 PLEASANT HILL RD | CHESTER | NJ | 07930 | 482 |