*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z418 - Encounter for other procedures for purposes other than remedying health state - as a primary diagnosis code | Z418 - Encounter for other procedures for purposes other than remedying health state - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.86 | |
| Readmission Rate (%) | 16.0 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 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) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 1,066 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD Z418 - Encounter for other procedures for purposes other than remedying health state in DRG | 7.01 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 15.79 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 11.12 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 8.0 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | $23,766,880 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | $1,412 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | $22,295 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | $42,805,025 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | $40,155 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 29.17 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 27.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 424 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD Z418 - Encounter for other procedures for purposes other than remedying health state in DRG | 2.79 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 14.05 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 15.08 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 10.58 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | $8,518,692 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | $1,430 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | $20,091 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | $15,351,044 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | $36,205 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 23.35 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 32.78 |
*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 885: PSYCHOSES | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 070: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 066: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 249 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z418 - Encounter for other procedures for purposes other than remedying health state in DRG | 1.64 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 7.29 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 23.39 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 12.39 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | $3,248,212 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | $1,789 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | $13,045 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | $10,311,874 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | $41,413 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 7.23 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 14.06 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 33.73 |
*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 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 071: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 176 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z418 - Encounter for other procedures for purposes other than remedying health state in DRG | 1.16 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 2.69 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 15.7 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | $1,927,854 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | $4,067 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | $10,954 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | $7,716,124 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | $43,842 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 23.86 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z418 - Encounter for other procedures for purposes other than remedying health state | 39.77 |
| 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 | 2,762 |
| SSM HEALTH REHABILITATION HOSPITAL - RICHMOND HEIGHTS | 1027 BELLEVUE AVENUE | RICHMOND HEIGHTS | MO | 63117 | 1,651 |
| HELEN M. SIMPSON REHABILITATION HOSPITAL | 4300 LONDONDERRY RD | HARRISBURG | PA | 17109 | 1,566 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRUCE MILTON MILLER | 2202 JOHN B DENNIS HWY | KINGSPORT | TN | 37660 | 44 |
| Dr. JASON PARK | 105 W STONE DR | KINGSPORT | TN | 37660 | 31 |
| Dr. D. CHRISTOPHER METZGER | 2050 MEADOWVIEW PKWY | KINGSPORT | TN | 37660 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVEN E MORGANSTEIN | 4811 JONESTOWN RD | HARRISBURG | PA | 17109 | 862 |
| Dr. THOMAS LAMMERTSE | 201 PLEASANT HILL RD | CHESTER | NJ | 07930 | 451 |
| Dr. STEPHEN THOMASON | 909 N WASHINGTON AVE | DALLAS | TX | 75246 | 445 |