*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Z48815 - Encounter for surgical aftercare following surgery on the digestive system - as a primary diagnosis code | Z48815 - Encounter for surgical aftercare following surgery on the digestive system - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 15.78 | |
Readmission Rate (%) | 22.96 | |
Unplanned Readmission Rate (%) | 14.47 | |
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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 950: AFTERCARE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 939: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 120,351 | ||||
Total Hospitalizations with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 8,731 | ||||
DRG Share of Total Hospitalizations | 0.37 | ||||
% of Total ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system in DRG | 86.07 | ||||
Avg LOS at DRG | 12.45 | ||||
Avg LOS with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 13.92 | ||||
Readmission Rate at DRG | 17.61 | ||||
Readmission Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 21.19 | ||||
Unplanned Readmission Rate at DRG | 12.6 | ||||
Unplanned Readmission Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 15.19 | ||||
Total Medicare payments at DRG | $2,245,410,425 | ||||
Total Medicare payments with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $162,747,077 | ||||
Total Medicare payment per Day at DRG | $1,499 | ||||
Total Medicare payment per Day with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $1,339 | ||||
Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
Total Medicare payment per Hospitalization with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $18,640 | ||||
Total Medicare Charges at DRG | $5,810,478,166 | ||||
Total Medicare Charges with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $493,435,302 | ||||
Avg Charges at DRG | $48,279 | ||||
Avg Charges with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $56,515 | ||||
Mortality Rate at DRG | 0.55 | ||||
Mortality Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 1.94 | ||||
SNF Discharge Rate at DRG | 14.77 | ||||
SNF Discharge Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 16.37 | ||||
Home Discharge Rate at DRG | 22.27 | ||||
Home Discharge Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 13.93 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
NORTHEAST REHABILITATION HOSPITAL - SALEM | 70 BUTLER STREET | SALEM | NH | 03079 | 95 |
ATRIUM HEALTH CAROLINAS REHABILITATION | 1100 BLYTHE BLVD | CHARLOTTE | NC | 28203 | 93 |
WALTON REHABILITATION HOSPITAL | 1355 INDEPENDENCE DR | AUGUSTA | GA | 30901 | 91 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JEFFREY M COHEN | 400 E 34TH ST | NEW YORK | NY | 10016 | 24 |
Dr. SAMUEL KEITH LANEY | 1106 E PROSPECT RD | FORT COLLINS | CO | 80525 | 17 |
Dr. TIMOTHY M MURPHREE | 160 HAROLD FLEMING CT | SPARTANBURG | SC | 29303 | 16 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JIMMY WAYNE LOCKHART | 1600 37TH STREET | VERO BEACH | FL | 32960 | 56 |
Dr. ALEXANDER DEJESUS | 6400 EDGELAKE DR | SARASOTA | FL | 34240 | 40 |
Dr. MARIA S VILLEGAS | 400 N WALL ST | KANKAKEE | IL | 60901 | 35 |
*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 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 950: AFTERCARE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 120,351 | ||||
Total Hospitalizations with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 9,227 | ||||
DRG Share of Total Hospitalizations | 0.37 | ||||
% of Total ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system in DRG | 38.11 | ||||
Avg LOS at DRG | 12.45 | ||||
Avg LOS with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 13.93 | ||||
Readmission Rate at DRG | 17.61 | ||||
Readmission Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 21.36 | ||||
Unplanned Readmission Rate at DRG | 12.6 | ||||
Unplanned Readmission Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 15.33 | ||||
Total Medicare payments at DRG | $2,245,410,425 | ||||
Total Medicare payments with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $172,741,771 | ||||
Total Medicare payment per Day at DRG | $1,499 | ||||
Total Medicare payment per Day with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $1,344 | ||||
Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
Total Medicare payment per Hospitalization with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $18,721 | ||||
Total Medicare Charges at DRG | $5,810,478,166 | ||||
Total Medicare Charges with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $520,254,655 | ||||
Avg Charges at DRG | $48,279 | ||||
Avg Charges with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $56,384 | ||||
Mortality Rate at DRG | 0.55 | ||||
Mortality Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 1.86 | ||||
SNF Discharge Rate at DRG | 14.77 | ||||
SNF Discharge Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 16.42 | ||||
Home Discharge Rate at DRG | 22.27 | ||||
Home Discharge Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 13.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 539,642 | ||||
Total Hospitalizations with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 732 | ||||
DRG Share of Total Hospitalizations | 1.64 | ||||
% of Total ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system in DRG | 3.02 | ||||
Avg LOS at DRG | 6.42 | ||||
Avg LOS with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 21.04 | ||||
Readmission Rate at DRG | 26.55 | ||||
Readmission Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 34.45 | ||||
Unplanned Readmission Rate at DRG | 20.01 | ||||
Unplanned Readmission Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 19.33 | ||||
Total Medicare payments at DRG | $5,267,842,463 | ||||
Total Medicare payments with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $20,369,854 | ||||
Total Medicare payment per Day at DRG | $1,520 | ||||
Total Medicare payment per Day with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $1,323 | ||||
Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
Total Medicare payment per Hospitalization with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $27,828 | ||||
Total Medicare Charges at DRG | $25,503,568,329 | ||||
Total Medicare Charges with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $86,026,379 | ||||
Avg Charges at DRG | $47,260 | ||||
Avg Charges with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $117,522 | ||||
Mortality Rate at DRG | 5.62 | ||||
Mortality Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 10.11 | ||||
SNF Discharge Rate at DRG | 19.26 | ||||
SNF Discharge Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 40.98 | ||||
Home Discharge Rate at DRG | 39.65 | ||||
Home Discharge Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 6.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 371: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 43,799 | ||||
Total Hospitalizations with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 368 | ||||
DRG Share of Total Hospitalizations | 0.13 | ||||
% of Total ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system in DRG | 1.52 | ||||
Avg LOS at DRG | 5.74 | ||||
Avg LOS with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 10.5 | ||||
Readmission Rate at DRG | 14.93 | ||||
Readmission Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 19.67 | ||||
Unplanned Readmission Rate at DRG | 8.84 | ||||
Unplanned Readmission Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 15.41 | ||||
Total Medicare payments at DRG | $370,803,163 | ||||
Total Medicare payments with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $6,030,238 | ||||
Total Medicare payment per Day at DRG | $1,476 | ||||
Total Medicare payment per Day with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $1,561 | ||||
Total Medicare payment per Hospitalization at DRG | $8,466 | ||||
Total Medicare payment per Hospitalization with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $16,387 | ||||
Total Medicare Charges at DRG | $1,198,628,374 | ||||
Total Medicare Charges with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $8,686,918 | ||||
Avg Charges at DRG | $27,367 | ||||
Avg Charges with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $23,606 | ||||
Mortality Rate at DRG | 0.2 | ||||
Mortality Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | NA | ||||
SNF Discharge Rate at DRG | 16.4 | ||||
SNF Discharge Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 7.88 | ||||
Home Discharge Rate at DRG | 42.3 | ||||
Home Discharge Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 16.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 939: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 071: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 38,827 | ||||
Total Hospitalizations with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 271 | ||||
DRG Share of Total Hospitalizations | 0.12 | ||||
% of Total ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system in DRG | 1.12 | ||||
Avg LOS at DRG | 8.58 | ||||
Avg LOS with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 25.82 | ||||
Readmission Rate at DRG | 27.62 | ||||
Readmission Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 32.38 | ||||
Unplanned Readmission Rate at DRG | 15.85 | ||||
Unplanned Readmission Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 16.19 | ||||
Total Medicare payments at DRG | $555,779,802 | ||||
Total Medicare payments with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $8,745,366 | ||||
Total Medicare payment per Day at DRG | $1,668 | ||||
Total Medicare payment per Day with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $1,250 | ||||
Total Medicare payment per Hospitalization at DRG | $14,314 | ||||
Total Medicare payment per Hospitalization with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $32,271 | ||||
Total Medicare Charges at DRG | $2,652,789,227 | ||||
Total Medicare Charges with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $40,338,212 | ||||
Avg Charges at DRG | $68,323 | ||||
Avg Charges with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | $148,849 | ||||
Mortality Rate at DRG | 3.06 | ||||
Mortality Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 6.27 | ||||
SNF Discharge Rate at DRG | 20.78 | ||||
SNF Discharge Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 32.47 | ||||
Home Discharge Rate at DRG | 32.02 | ||||
Home Discharge Rate with ICD Z48815 - Encounter for surgical aftercare following surgery on the digestive system | 11.07 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
BROOKS REHABILITATION HOSPITAL | 3599 UNIVERSITY BLVD S | JACKSONVILLE | FL | 32216 | 184 |
NORTHEAST REHABILITATION HOSPITAL - SALEM | 70 BUTLER STREET | SALEM | NH | 03079 | 183 |
BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 155 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. KURT E. JACOBSON | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 29 |
Dr. JEFFREY M COHEN | 400 E 34TH ST | NEW YORK | NY | 10016 | 24 |
Dr. KAMRAN R QURAISHI | 725 AMERICAN AVE | WAUKESHA | WI | 53188 | 23 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 129 |
Dr. JIMMY WAYNE LOCKHART | 1600 37TH STREET | VERO BEACH | FL | 32960 | 125 |
Dr. PADMAJA KONDAMURI | 8840 CALUMET AVE | MUNSTER | IN | 46321 | 87 |