*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z408 - Encounter for other prophylactic surgery - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 9.29 | |
| 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 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 824: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD Z408 - Encounter for other prophylactic surgery | 133 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD Z408 - Encounter for other prophylactic surgery in DRG | 26.28 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD Z408 - Encounter for other prophylactic surgery | 4.47 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD Z408 - Encounter for other prophylactic surgery | 26.15 | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD Z408 - Encounter for other prophylactic surgery | 11.54 | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD Z408 - Encounter for other prophylactic surgery | $1,742,868 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD Z408 - Encounter for other prophylactic surgery | $2,929 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD Z408 - Encounter for other prophylactic surgery | $13,104 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD Z408 - Encounter for other prophylactic surgery | $8,498,715 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD Z408 - Encounter for other prophylactic surgery | $63,900 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD Z408 - Encounter for other prophylactic surgery | NA | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD Z408 - Encounter for other prophylactic surgery | 31.58 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD Z408 - Encounter for other prophylactic surgery | 24.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 825: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER O.R. PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 823: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 88,007 | |||
| Total Hospitalizations with ICD Z408 - Encounter for other prophylactic surgery | 23 | |||
| DRG Share of Total Hospitalizations | 0.27 | |||
| % of Total ICD Z408 - Encounter for other prophylactic surgery in DRG | 4.55 | |||
| Avg LOS at DRG | 7.38 | |||
| Avg LOS with ICD Z408 - Encounter for other prophylactic surgery | 6.96 | |||
| Readmission Rate at DRG | 29.95 | |||
| Readmission Rate with ICD Z408 - Encounter for other prophylactic surgery | NA | |||
| Unplanned Readmission Rate at DRG | 12.78 | |||
| Unplanned Readmission Rate with ICD Z408 - Encounter for other prophylactic surgery | NA | |||
| Total Medicare payments at DRG | $1,679,975,081 | |||
| Total Medicare payments with ICD Z408 - Encounter for other prophylactic surgery | $456,794 | |||
| Total Medicare payment per Day at DRG | $2,585 | |||
| Total Medicare payment per Day with ICD Z408 - Encounter for other prophylactic surgery | $2,855 | |||
| Total Medicare payment per Hospitalization at DRG | $19,089 | |||
| Total Medicare payment per Hospitalization with ICD Z408 - Encounter for other prophylactic surgery | $19,861 | |||
| Total Medicare Charges at DRG | $8,209,996,060 | |||
| Total Medicare Charges with ICD Z408 - Encounter for other prophylactic surgery | $1,994,196 | |||
| Avg Charges at DRG | $93,288 | |||
| Avg Charges with ICD Z408 - Encounter for other prophylactic surgery | $86,704 | |||
| Mortality Rate at DRG | 5.86 | |||
| Mortality Rate with ICD Z408 - Encounter for other prophylactic surgery | NA | |||
| SNF Discharge Rate at DRG | 63.57 | |||
| SNF Discharge Rate with ICD Z408 - Encounter for other prophylactic surgery | 47.83 | |||
| Home Discharge Rate at DRG | 2.5 | |||
| Home Discharge Rate with ICD Z408 - Encounter for other prophylactic surgery | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAPTIST HOSPITAL | 1000 WEST MORENO STREET | PENSACOLA | FL | 32501 | 23 |
| EMORY UNIVERSITY HOSPITAL MIDTOWN | 550 PEACHTREE ST NE | ATLANTA | GA | 30308 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRETT R SMITH | 1040 GULF BREEZE PKWY | GULF BREEZE | FL | 32561 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRETT R SMITH | 1040 GULF BREEZE PKWY | GULF BREEZE | FL | 32561 | 23 |