*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z4889 - Encounter for other specified surgical aftercare - as a primary diagnosis code | Z4889 - Encounter for other specified surgical aftercare - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.56 | |
| Readmission Rate (%) | 12.6 | |
| Unplanned Readmission Rate (%) | 7.55 | |
| 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 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 939: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 Z4889 - Encounter for other specified surgical aftercare | 14,391 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z4889 - Encounter for other specified surgical aftercare in DRG | 73.37 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD Z4889 - Encounter for other specified surgical aftercare | 12.59 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 12.5 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 8.57 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD Z4889 - Encounter for other specified surgical aftercare | $283,906,256 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD Z4889 - Encounter for other specified surgical aftercare | $1,567 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD Z4889 - Encounter for other specified surgical aftercare | $19,728 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD Z4889 - Encounter for other specified surgical aftercare | $687,426,918 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD Z4889 - Encounter for other specified surgical aftercare | $47,768 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 0.1 | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 12.67 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 24.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ENCOMPASS HEALTH LAKESHORE REHABILITATION HOSPITAL | 3800 RIDGEWAY DR | BIRMINGHAM | AL | 35209 | 357 |
| NORTHEAST REHABILITATION HOSPITAL - SALEM | 70 BUTLER STREET | SALEM | NH | 03079 | 344 |
| HELEN HAYES HOSPITAL | ROUTE 9W | WEST HAVERSTRAW | NY | 10993 | 227 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HARWINDER SINGH | 1805 E FIR AVE | FRESNO | CA | 93720 | 101 |
| Dr. AUSTON JEROD MYERS | 8700 BEVERLY BLVD | WEST HOLLYWOOD | CA | 90048 | 83 |
| Dr. KURT E. JACOBSON | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 68 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL A ROSEMORE | 3004 ALLISON BONNETT MEMORIAL DR | HUEYTOWN | AL | 35023 | 234 |
| Dr. PATRICK J O'BRIEN | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 169 |
| Dr. ANDREA GAIL ISAACS | 177 N DEAN ST | ENGLEWOOD | NJ | 07631 | 163 |
*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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS 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 | 120,351 | ||||
| Total Hospitalizations with ICD Z4889 - Encounter for other specified surgical aftercare | 15,505 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z4889 - Encounter for other specified surgical aftercare in DRG | 45.91 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD Z4889 - Encounter for other specified surgical aftercare | 12.73 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 12.62 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 8.66 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD Z4889 - Encounter for other specified surgical aftercare | $307,815,539 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD Z4889 - Encounter for other specified surgical aftercare | $1,560 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD Z4889 - Encounter for other specified surgical aftercare | $19,853 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD Z4889 - Encounter for other specified surgical aftercare | $736,115,526 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD Z4889 - Encounter for other specified surgical aftercare | $47,476 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 0.1 | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 13.25 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 24.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 052: SPINAL DISORDERS AND INJURIES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 65,966 | ||||
| Total Hospitalizations with ICD Z4889 - Encounter for other specified surgical aftercare | 676 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD Z4889 - Encounter for other specified surgical aftercare in DRG | 2.0 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD Z4889 - Encounter for other specified surgical aftercare | 14.49 | ||||
| Readmission Rate at DRG | 21.08 | ||||
| Readmission Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 17.24 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 13.14 | ||||
| Total Medicare payments at DRG | $1,323,430,782 | ||||
| Total Medicare payments with ICD Z4889 - Encounter for other specified surgical aftercare | $14,587,166 | ||||
| Total Medicare payment per Day at DRG | $1,530 | ||||
| Total Medicare payment per Day with ICD Z4889 - Encounter for other specified surgical aftercare | $1,489 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,062 | ||||
| Total Medicare payment per Hospitalization with ICD Z4889 - Encounter for other specified surgical aftercare | $21,579 | ||||
| Total Medicare Charges at DRG | $3,810,466,828 | ||||
| Total Medicare Charges with ICD Z4889 - Encounter for other specified surgical aftercare | $30,278,773 | ||||
| Avg Charges at DRG | $57,764 | ||||
| Avg Charges with ICD Z4889 - Encounter for other specified surgical aftercare | $44,791 | ||||
| Mortality Rate at DRG | 1.49 | ||||
| Mortality Rate with ICD Z4889 - Encounter for other specified surgical aftercare | NA | ||||
| SNF Discharge Rate at DRG | 24.48 | ||||
| SNF Discharge Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 25.0 | ||||
| Home Discharge Rate at DRG | 12.66 | ||||
| Home Discharge Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 14.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH 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) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,617 | ||||
| Total Hospitalizations with ICD Z4889 - Encounter for other specified surgical aftercare | 422 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD Z4889 - Encounter for other specified surgical aftercare in DRG | 1.25 | ||||
| Avg LOS at DRG | 9.5 | ||||
| Avg LOS with ICD Z4889 - Encounter for other specified surgical aftercare | 13.82 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 17.84 | ||||
| Unplanned Readmission Rate at DRG | 19.26 | ||||
| Unplanned Readmission Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 15.79 | ||||
| Total Medicare payments at DRG | $1,599,186,807 | ||||
| Total Medicare payments with ICD Z4889 - Encounter for other specified surgical aftercare | $8,883,278 | ||||
| Total Medicare payment per Day at DRG | $1,656 | ||||
| Total Medicare payment per Day with ICD Z4889 - Encounter for other specified surgical aftercare | $1,523 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,737 | ||||
| Total Medicare payment per Hospitalization with ICD Z4889 - Encounter for other specified surgical aftercare | $21,050 | ||||
| Total Medicare Charges at DRG | $4,836,538,333 | ||||
| Total Medicare Charges with ICD Z4889 - Encounter for other specified surgical aftercare | $18,247,145 | ||||
| Avg Charges at DRG | $47,596 | ||||
| Avg Charges with ICD Z4889 - Encounter for other specified surgical aftercare | $43,240 | ||||
| Mortality Rate at DRG | 2.8 | ||||
| Mortality Rate with ICD Z4889 - Encounter for other specified surgical aftercare | NA | ||||
| SNF Discharge Rate at DRG | 20.21 | ||||
| SNF Discharge Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 13.03 | ||||
| Home Discharge Rate at DRG | 20.17 | ||||
| Home Discharge Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 18.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,180 | ||||
| Total Hospitalizations with ICD Z4889 - Encounter for other specified surgical aftercare | 150 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD Z4889 - Encounter for other specified surgical aftercare in DRG | 0.44 | ||||
| Avg LOS at DRG | 6.71 | ||||
| Avg LOS with ICD Z4889 - Encounter for other specified surgical aftercare | 12.45 | ||||
| Readmission Rate at DRG | 23.14 | ||||
| Readmission Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 15.94 | ||||
| Unplanned Readmission Rate at DRG | 11.83 | ||||
| Unplanned Readmission Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 10.87 | ||||
| Total Medicare payments at DRG | $126,050,117 | ||||
| Total Medicare payments with ICD Z4889 - Encounter for other specified surgical aftercare | $3,055,004 | ||||
| Total Medicare payment per Day at DRG | $2,297 | ||||
| Total Medicare payment per Day with ICD Z4889 - Encounter for other specified surgical aftercare | $1,636 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,410 | ||||
| Total Medicare payment per Hospitalization with ICD Z4889 - Encounter for other specified surgical aftercare | $20,367 | ||||
| Total Medicare Charges at DRG | $596,559,916 | ||||
| Total Medicare Charges with ICD Z4889 - Encounter for other specified surgical aftercare | $11,984,948 | ||||
| Avg Charges at DRG | $72,929 | ||||
| Avg Charges with ICD Z4889 - Encounter for other specified surgical aftercare | $79,900 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD Z4889 - Encounter for other specified surgical aftercare | NA | ||||
| SNF Discharge Rate at DRG | 23.23 | ||||
| SNF Discharge Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 18.0 | ||||
| Home Discharge Rate at DRG | 38.81 | ||||
| Home Discharge Rate with ICD Z4889 - Encounter for other specified surgical aftercare | 28.67 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HEALTHSOUTH REHABILITATION HOSPITAL OF SARASOTA | 3660 GRANDVIEW PKWY | BIRMINGHAM | AL | 35243 | 592 |
| NORTHEAST REHABILITATION HOSPITAL - SALEM | 70 BUTLER STREET | SALEM | NH | 03079 | 471 |
| MERCY REHABILITATION HOSPITAL ST. LOUIS | 14561 NORTH OUTER FORTY ROAD | CHESTERFIELD | MO | 63017 | 471 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HARWINDER SINGH | 1805 E FIR AVE | FRESNO | CA | 93720 | 127 |
| Dr. DAVID J TOMLINSON | 625 E BROADWAY | JACKSON | WY | 83002 | 101 |
| Dr. MARC F DOMSKY | 625 E BROADWAY | JACKSON | WY | 83001 | 98 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN E. SCOLA | 250 POND ST | BRAINTREE | MA | 02184 | 292 |
| Dr. PATRICK J O'BRIEN | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 258 |
| Dr. MICHAEL A ROSEMORE | 3004 ALLISON BONNETT MEMORIAL DR | HUEYTOWN | AL | 35023 | 246 |