*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue - as a primary diagnosis code | Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 20.72 | |
| Readmission Rate (%) | 23.59 | |
| Unplanned Readmission Rate (%) | 12.23 | |
| 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 Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 1,617 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue in DRG | 82.84 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 18.95 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 22.7 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 12.67 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $32,774,278 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $1,069 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $20,269 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $125,275,109 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $77,474 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 1.42 | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 28.63 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 11.5 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HEALTHSOUTH REHABILITATION HOSPITAL OF MEMPHIS | 1282 UNION AVE | MEMPHIS | TN | 38104 | 44 |
| CORNERSTONE HOSPITAL OF AUSTIN | 4207 BURNET RD | AUSTIN | TX | 78756 | 37 |
| LIFECARE HOSPITALS OF NORTH TEXAS-DALLAS | 1950 RECORD CROSSING RD | DALLAS | TX | 75235 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ELIZABETH HINDS GILLESS | 7691 POPLAR AVE | GERMANTOWN | TN | 38138 | 15 |
| Dr. KYLE EDWARD WEDIN | 1950 RECORD CROSSING RD | DALLAS | TX | 75235 | 15 |
| Dr. JEFFREY SCOTT SUMMERS | 6612 MAYNARDVILLE HWY | KNOXVILLE | TN | 37918 | 12 |
*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 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 540: OSTEOMYELITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 2,016 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue in DRG | 27.1 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 18.07 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 22.5 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 13.15 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $40,914,723 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $1,123 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $20,295 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $146,051,524 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $72,446 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 1.14 | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 27.08 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 11.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 950: AFTERCARE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,862 | ||||
| Total Hospitalizations with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 203 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue in DRG | 2.73 | ||||
| Avg LOS at DRG | 10.07 | ||||
| Avg LOS with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 11.51 | ||||
| Readmission Rate at DRG | 10.72 | ||||
| Readmission Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 14.74 | ||||
| Unplanned Readmission Rate at DRG | 7.34 | ||||
| Unplanned Readmission Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 7.37 | ||||
| Total Medicare payments at DRG | $400,793,306 | ||||
| Total Medicare payments with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $3,010,385 | ||||
| Total Medicare payment per Day at DRG | $1,539 | ||||
| Total Medicare payment per Day with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $1,289 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,497 | ||||
| Total Medicare payment per Hospitalization with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $14,829 | ||||
| Total Medicare Charges at DRG | $809,609,640 | ||||
| Total Medicare Charges with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $6,978,997 | ||||
| Avg Charges at DRG | $31,305 | ||||
| Avg Charges with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $34,379 | ||||
| Mortality Rate at DRG | 0.16 | ||||
| Mortality Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | NA | ||||
| SNF Discharge Rate at DRG | 9.54 | ||||
| SNF Discharge Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 20.2 | ||||
| Home Discharge Rate at DRG | 29.95 | ||||
| Home Discharge Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 17.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 132 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue in DRG | 1.77 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 22.85 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 27.78 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 12.96 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $3,702,261 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $1,228 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $28,047 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $16,455,116 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $124,660 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 45.45 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 8.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 052: SPINAL DISORDERS AND INJURIES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 93 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue in DRG | 1.25 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 17.58 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 22.99 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | NA | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $1,723,859 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $1,054 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $18,536 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $8,500,106 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | $91,399 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 35.48 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD Z48817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue | 18.28 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LIFECARE HOSPITALS OF NORTH TEXAS-DALLAS | 1950 RECORD CROSSING RD | DALLAS | TX | 75235 | 133 |
| MADONNA REHABILITATION HOSPITAL - LTCH | 5401 SOUTH ST | LINCOLN | NE | 68506 | 132 |
| REHABILITATION INSTITUTE OF CHICAGO | 345 E SUPERIOR ST | CHICAGO | IL | 60611 | 92 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROY L MAURER | 4740 A ST | LINCOLN | NE | 68510 | 31 |
| Dr. JOHN L REED | 8055 O ST | LINCOLN | NE | 68510 | 30 |
| Dr. RYAN THOMAS SWAN | 5715 E 2ND ST | CASPER | WY | 82609 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MOHSEN ABOU SEIF | 12428 ROSE LN | OMAHA | NE | 68154 | 46 |
| Dr. JAMAL QAMAR LONE | 8230 WALNUT HILL LN | DALLAS | TX | 75231 | 42 |
| Dr. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 41 |