*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Z5181 - Encounter for therapeutic drug level monitoring - as a primary diagnosis code | Z5181 - Encounter for therapeutic drug level monitoring - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 6.97 | |
Readmission Rate (%) | 20.46 | |
Unplanned Readmission Rate (%) | 6.76 | |
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) | |
---|---|---|---|---|
Total Hospitalizations at DRG | 120,351 | |||
Total Hospitalizations with ICD Z5181 - Encounter for therapeutic drug level monitoring | 745 | |||
DRG Share of Total Hospitalizations | 0.37 | |||
% of Total ICD Z5181 - Encounter for therapeutic drug level monitoring in DRG | 74.95 | |||
Avg LOS at DRG | 12.45 | |||
Avg LOS with ICD Z5181 - Encounter for therapeutic drug level monitoring | 3.65 | |||
Readmission Rate at DRG | 17.61 | |||
Readmission Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | 17.51 | |||
Unplanned Readmission Rate at DRG | 12.6 | |||
Unplanned Readmission Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | 7.0 | |||
Total Medicare payments at DRG | $2,245,410,425 | |||
Total Medicare payments with ICD Z5181 - Encounter for therapeutic drug level monitoring | $5,199,997 | |||
Total Medicare payment per Day at DRG | $1,499 | |||
Total Medicare payment per Day with ICD Z5181 - Encounter for therapeutic drug level monitoring | $1,913 | |||
Total Medicare payment per Hospitalization at DRG | $18,657 | |||
Total Medicare payment per Hospitalization with ICD Z5181 - Encounter for therapeutic drug level monitoring | $6,980 | |||
Total Medicare Charges at DRG | $5,810,478,166 | |||
Total Medicare Charges with ICD Z5181 - Encounter for therapeutic drug level monitoring | $16,066,277 | |||
Avg Charges at DRG | $48,279 | |||
Avg Charges with ICD Z5181 - Encounter for therapeutic drug level monitoring | $21,565 | |||
Mortality Rate at DRG | 0.55 | |||
Mortality Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | NA | |||
SNF Discharge Rate at DRG | 14.77 | |||
SNF Discharge Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | 2.82 | |||
Home Discharge Rate at DRG | 22.27 | |||
Home Discharge Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | 80.13 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
BAPTIST HEALTH MEDICAL CENTER - LITTLE ROCK | 9601 BAPTIST HEALTH DRIVE | LITTLE ROCK | AR | 72205 | 71 |
NORTHWESTERN MEMORIAL HOSPITAL | 251 E HURON ST | CHICAGO | IL | 60611 | 57 |
MARY WASHINGTON HOSPITAL | 1001 SAM PERRY BLVD | FREDERICKSBURG | VA | 22401 | 38 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JOHN M RANSOM | 9601 LILE DR | LITTLE ROCK | AR | 72205 | 14 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JOHN M RANSOM | 9601 LILE DR | LITTLE ROCK | AR | 72205 | 56 |
Dr. SANJAY KUMAR | 450 CLARKSON AVE | BROOKLYN | NY | 11203 | 31 |
Dr. PARAM P. SHARMA | 1000 N OAK AVE | MARSHFIELD | WI | 54449 | 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 885: PSYCHOSES | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,100,860 | ||||
Total Hospitalizations with ICD Z5181 - Encounter for therapeutic drug level monitoring | 2,580 | ||||
DRG Share of Total Hospitalizations | 3.35 | ||||
% of Total ICD Z5181 - Encounter for therapeutic drug level monitoring in DRG | 5.83 | ||||
Avg LOS at DRG | 11.86 | ||||
Avg LOS with ICD Z5181 - Encounter for therapeutic drug level monitoring | 13.72 | ||||
Readmission Rate at DRG | 27.58 | ||||
Readmission Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | 22.31 | ||||
Unplanned Readmission Rate at DRG | 13.34 | ||||
Unplanned Readmission Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | 11.16 | ||||
Total Medicare payments at DRG | $9,312,828,663 | ||||
Total Medicare payments with ICD Z5181 - Encounter for therapeutic drug level monitoring | $22,690,098 | ||||
Total Medicare payment per Day at DRG | $713 | ||||
Total Medicare payment per Day with ICD Z5181 - Encounter for therapeutic drug level monitoring | $641 | ||||
Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
Total Medicare payment per Hospitalization with ICD Z5181 - Encounter for therapeutic drug level monitoring | $8,795 | ||||
Total Medicare Charges at DRG | $32,341,464,302 | ||||
Total Medicare Charges with ICD Z5181 - Encounter for therapeutic drug level monitoring | $64,693,158 | ||||
Avg Charges at DRG | $29,378 | ||||
Avg Charges with ICD Z5181 - Encounter for therapeutic drug level monitoring | $25,075 | ||||
Mortality Rate at DRG | 0.04 | ||||
Mortality Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | NA | ||||
SNF Discharge Rate at DRG | 5.83 | ||||
SNF Discharge Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | 4.42 | ||||
Home Discharge Rate at DRG | 79.47 | ||||
Home Discharge Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | 76.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 292,335 | ||||
Total Hospitalizations with ICD Z5181 - Encounter for therapeutic drug level monitoring | 1,291 | ||||
DRG Share of Total Hospitalizations | 0.89 | ||||
% of Total ICD Z5181 - Encounter for therapeutic drug level monitoring in DRG | 2.92 | ||||
Avg LOS at DRG | 2.96 | ||||
Avg LOS with ICD Z5181 - Encounter for therapeutic drug level monitoring | 3.06 | ||||
Readmission Rate at DRG | 19.18 | ||||
Readmission Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | 12.07 | ||||
Unplanned Readmission Rate at DRG | 13.96 | ||||
Unplanned Readmission Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | 7.42 | ||||
Total Medicare payments at DRG | $1,347,436,356 | ||||
Total Medicare payments with ICD Z5181 - Encounter for therapeutic drug level monitoring | $6,046,761 | ||||
Total Medicare payment per Day at DRG | $1,557 | ||||
Total Medicare payment per Day with ICD Z5181 - Encounter for therapeutic drug level monitoring | $1,530 | ||||
Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
Total Medicare payment per Hospitalization with ICD Z5181 - Encounter for therapeutic drug level monitoring | $4,684 | ||||
Total Medicare Charges at DRG | $7,385,462,160 | ||||
Total Medicare Charges with ICD Z5181 - Encounter for therapeutic drug level monitoring | $22,545,626 | ||||
Avg Charges at DRG | $25,264 | ||||
Avg Charges with ICD Z5181 - Encounter for therapeutic drug level monitoring | $17,464 | ||||
Mortality Rate at DRG | 0.57 | ||||
Mortality Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | NA | ||||
SNF Discharge Rate at DRG | 11.55 | ||||
SNF Discharge Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | 4.11 | ||||
Home Discharge Rate at DRG | 63.79 | ||||
Home Discharge Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | 82.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 422,757 | ||||
Total Hospitalizations with ICD Z5181 - Encounter for therapeutic drug level monitoring | 832 | ||||
DRG Share of Total Hospitalizations | 1.29 | ||||
% of Total ICD Z5181 - Encounter for therapeutic drug level monitoring in DRG | 1.88 | ||||
Avg LOS at DRG | 4.14 | ||||
Avg LOS with ICD Z5181 - Encounter for therapeutic drug level monitoring | 4.46 | ||||
Readmission Rate at DRG | 24.43 | ||||
Readmission Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | 28.38 | ||||
Unplanned Readmission Rate at DRG | 18.48 | ||||
Unplanned Readmission Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | 16.82 | ||||
Total Medicare payments at DRG | $2,636,135,714 | ||||
Total Medicare payments with ICD Z5181 - Encounter for therapeutic drug level monitoring | $5,604,180 | ||||
Total Medicare payment per Day at DRG | $1,507 | ||||
Total Medicare payment per Day with ICD Z5181 - Encounter for therapeutic drug level monitoring | $1,511 | ||||
Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
Total Medicare payment per Hospitalization with ICD Z5181 - Encounter for therapeutic drug level monitoring | $6,736 | ||||
Total Medicare Charges at DRG | $11,980,955,733 | ||||
Total Medicare Charges with ICD Z5181 - Encounter for therapeutic drug level monitoring | $18,278,342 | ||||
Avg Charges at DRG | $28,340 | ||||
Avg Charges with ICD Z5181 - Encounter for therapeutic drug level monitoring | $21,969 | ||||
Mortality Rate at DRG | 1.01 | ||||
Mortality Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | NA | ||||
SNF Discharge Rate at DRG | 16.05 | ||||
SNF Discharge Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | 12.86 | ||||
Home Discharge Rate at DRG | 47.18 | ||||
Home Discharge Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | 48.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 522,791 | ||||
Total Hospitalizations with ICD Z5181 - Encounter for therapeutic drug level monitoring | 551 | ||||
DRG Share of Total Hospitalizations | 1.59 | ||||
% of Total ICD Z5181 - Encounter for therapeutic drug level monitoring in DRG | 1.24 | ||||
Avg LOS at DRG | 3.14 | ||||
Avg LOS with ICD Z5181 - Encounter for therapeutic drug level monitoring | 3.61 | ||||
Readmission Rate at DRG | 17.1 | ||||
Readmission Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | 15.15 | ||||
Unplanned Readmission Rate at DRG | 12.62 | ||||
Unplanned Readmission Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | 7.77 | ||||
Total Medicare payments at DRG | $2,290,151,156 | ||||
Total Medicare payments with ICD Z5181 - Encounter for therapeutic drug level monitoring | $2,721,623 | ||||
Total Medicare payment per Day at DRG | $1,394 | ||||
Total Medicare payment per Day with ICD Z5181 - Encounter for therapeutic drug level monitoring | $1,370 | ||||
Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
Total Medicare payment per Hospitalization with ICD Z5181 - Encounter for therapeutic drug level monitoring | $4,939 | ||||
Total Medicare Charges at DRG | $13,619,287,561 | ||||
Total Medicare Charges with ICD Z5181 - Encounter for therapeutic drug level monitoring | $10,874,659 | ||||
Avg Charges at DRG | $26,051 | ||||
Avg Charges with ICD Z5181 - Encounter for therapeutic drug level monitoring | $19,736 | ||||
Mortality Rate at DRG | 0.18 | ||||
Mortality Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | NA | ||||
SNF Discharge Rate at DRG | 8.57 | ||||
SNF Discharge Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | 7.8 | ||||
Home Discharge Rate at DRG | 72.49 | ||||
Home Discharge Rate with ICD Z5181 - Encounter for therapeutic drug level monitoring | 69.51 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
HALIFAX REGIONAL MEDICAL CENTER | 250 SMITH CHURCH RD | ROANOKE RAPIDS | NC | 27870 | 1,520 |
PERRY COUNTY MEMORIAL HOSPITAL | 8885 SR 237 | TELL CITY | IN | 47586 | 1,171 |
CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 854 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MARK S TOPOLSKI | 1836 SOUTH AVE | LA CROSSE | WI | 54601 | 206 |
Dr. RICHARD PHILLIP HOLM | 244 SMITH CHURCH RD | ROANOKE RAPIDS | NC | 27870 | 184 |
Dr. EDWARD H RILEY | 1836 SOUTH AVE | LA CROSSE | WI | 54601 | 141 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JOHN A. KLINE | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 480 |
Dr. ANASTACIA LAGUNZAD | 510 WASHINGTON ST | CANNELTON | IN | 47520 | 403 |
Dr. ADALBERTO R FONTICIELLA | 1000 WEST KINGSHIGHWAY | PARAGOULD | AR | 72450 | 304 |