*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z5189 - Encounter for other specified aftercare - as a primary diagnosis code | Z5189 - Encounter for other specified aftercare - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.15 | |
| Readmission Rate (%) | 17.21 | |
| Unplanned Readmission Rate (%) | 12.08 | |
| 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 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 950: AFTERCARE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 946: REHABILITATION 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD Z5189 - Encounter for other specified aftercare | 13,510 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z5189 - Encounter for other specified aftercare in DRG | 44.94 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD Z5189 - Encounter for other specified aftercare | 12.56 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD Z5189 - Encounter for other specified aftercare | 17.48 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD Z5189 - Encounter for other specified aftercare | 13.74 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD Z5189 - Encounter for other specified aftercare | $259,892,208 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD Z5189 - Encounter for other specified aftercare | $1,532 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD Z5189 - Encounter for other specified aftercare | $19,237 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD Z5189 - Encounter for other specified aftercare | $622,267,878 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD Z5189 - Encounter for other specified aftercare | $46,060 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD Z5189 - Encounter for other specified aftercare | 0.38 | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD Z5189 - Encounter for other specified aftercare | 18.8 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD Z5189 - Encounter for other specified aftercare | 18.13 |
*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) | |
|---|---|
| Total Hospitalizations at DRG | 8,180 |
| Total Hospitalizations with ICD Z5189 - Encounter for other specified aftercare | 91 |
| DRG Share of Total Hospitalizations | 0.02 |
| % of Total ICD Z5189 - Encounter for other specified aftercare in DRG | 0.3 |
| Avg LOS at DRG | 6.71 |
| Avg LOS with ICD Z5189 - Encounter for other specified aftercare | 16.98 |
| Readmission Rate at DRG | 23.14 |
| Readmission Rate with ICD Z5189 - Encounter for other specified aftercare | 26.67 |
| Unplanned Readmission Rate at DRG | 11.83 |
| Unplanned Readmission Rate with ICD Z5189 - Encounter for other specified aftercare | 17.33 |
| Total Medicare payments at DRG | $126,050,117 |
| Total Medicare payments with ICD Z5189 - Encounter for other specified aftercare | $2,089,009 |
| Total Medicare payment per Day at DRG | $2,297 |
| Total Medicare payment per Day with ICD Z5189 - Encounter for other specified aftercare | $1,352 |
| Total Medicare payment per Hospitalization at DRG | $15,410 |
| Total Medicare payment per Hospitalization with ICD Z5189 - Encounter for other specified aftercare | $22,956 |
| Total Medicare Charges at DRG | $596,559,916 |
| Total Medicare Charges with ICD Z5189 - Encounter for other specified aftercare | $7,899,875 |
| Avg Charges at DRG | $72,929 |
| Avg Charges with ICD Z5189 - Encounter for other specified aftercare | $86,812 |
| Mortality Rate at DRG | 0.31 |
| Mortality Rate with ICD Z5189 - Encounter for other specified aftercare | NA |
| SNF Discharge Rate at DRG | 23.23 |
| SNF Discharge Rate with ICD Z5189 - Encounter for other specified aftercare | 29.67 |
| Home Discharge Rate at DRG | 38.81 |
| Home Discharge Rate with ICD Z5189 - Encounter for other specified aftercare | 17.58 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HACKENSACK MERIDIAN HEALTH OCEAN MEDICAL CENTER | 425 JACK MARTIN BLVD | BRICK | NJ | 08724 | 1,843 |
| STRAITH HOSPITAL FOR SPECIAL SURGERY | 23901 LAHSER RD | SOUTHFIELD | MI | 48033 | 1,727 |
| GLEN COVE HOSPITAL | 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 1,425 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 1,723 |
| Dr. MARK L CUNNINGHAM | 7601 SOUTHCREST PKWY | SOUTHAVEN | MS | 38671 | 689 |
| Dr. PAULINDER SINGH RAI | 234 ORINOCO DR | BRIGHTWATERS | NY | 11718 | 629 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 1,726 |
| Dr. TONYA C WASHBURN | 721 NW 6TH ST | OKLAHOMA CITY | OK | 73102 | 1,277 |
| Dr. MARK L CUNNINGHAM | 7601 SOUTHCREST PKWY | SOUTHAVEN | MS | 38671 | 692 |
*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 945: REHABILITATION 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 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD Z5189 - Encounter for other specified aftercare | 14,341 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z5189 - Encounter for other specified aftercare in DRG | 25.07 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD Z5189 - Encounter for other specified aftercare | 12.53 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD Z5189 - Encounter for other specified aftercare | 17.27 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD Z5189 - Encounter for other specified aftercare | 13.53 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD Z5189 - Encounter for other specified aftercare | $275,068,395 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD Z5189 - Encounter for other specified aftercare | $1,531 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD Z5189 - Encounter for other specified aftercare | $19,181 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD Z5189 - Encounter for other specified aftercare | $657,494,441 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD Z5189 - Encounter for other specified aftercare | $45,847 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD Z5189 - Encounter for other specified aftercare | 0.37 | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD Z5189 - Encounter for other specified aftercare | 18.72 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD Z5189 - Encounter for other specified aftercare | 18.02 |
*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 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD Z5189 - Encounter for other specified aftercare | 1,648 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD Z5189 - Encounter for other specified aftercare in DRG | 2.88 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD Z5189 - Encounter for other specified aftercare | 12.74 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD Z5189 - Encounter for other specified aftercare | 14.11 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD Z5189 - Encounter for other specified aftercare | 11.26 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD Z5189 - Encounter for other specified aftercare | $33,372,876 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD Z5189 - Encounter for other specified aftercare | $1,589 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD Z5189 - Encounter for other specified aftercare | $20,251 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD Z5189 - Encounter for other specified aftercare | $94,788,553 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD Z5189 - Encounter for other specified aftercare | $57,517 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD Z5189 - Encounter for other specified aftercare | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD Z5189 - Encounter for other specified aftercare | 23.48 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD Z5189 - Encounter for other specified aftercare | 30.76 |
*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 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z5189 - Encounter for other specified aftercare | 765 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z5189 - Encounter for other specified aftercare in DRG | 1.34 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z5189 - Encounter for other specified aftercare | 7.92 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z5189 - Encounter for other specified aftercare | 22.8 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z5189 - Encounter for other specified aftercare | 17.17 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z5189 - Encounter for other specified aftercare | $12,113,333 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z5189 - Encounter for other specified aftercare | $2,000 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z5189 - Encounter for other specified aftercare | $15,834 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z5189 - Encounter for other specified aftercare | $38,407,132 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z5189 - Encounter for other specified aftercare | $50,205 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z5189 - Encounter for other specified aftercare | 10.98 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z5189 - Encounter for other specified aftercare | 30.2 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z5189 - Encounter for other specified aftercare | 25.1 |
*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 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD Z5189 - Encounter for other specified aftercare | 412 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD Z5189 - Encounter for other specified aftercare in DRG | 0.72 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD Z5189 - Encounter for other specified aftercare | 12.59 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD Z5189 - Encounter for other specified aftercare | 16.18 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD Z5189 - Encounter for other specified aftercare | 9.28 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD Z5189 - Encounter for other specified aftercare | $8,055,188 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD Z5189 - Encounter for other specified aftercare | $1,553 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD Z5189 - Encounter for other specified aftercare | $19,551 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD Z5189 - Encounter for other specified aftercare | $18,119,717 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD Z5189 - Encounter for other specified aftercare | $43,980 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD Z5189 - Encounter for other specified aftercare | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD Z5189 - Encounter for other specified aftercare | 25.24 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD Z5189 - Encounter for other specified aftercare | 32.77 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 3,036 |
| HACKENSACK MERIDIAN HEALTH OCEAN MEDICAL CENTER | 425 JACK MARTIN BLVD | BRICK | NJ | 08724 | 1,886 |
| STRAITH HOSPITAL FOR SPECIAL SURGERY | 23901 LAHSER RD | SOUTHFIELD | MI | 48033 | 1,727 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 1,723 |
| Dr. JORGE FRANCISCO CORZO | 55 N GILBERT ST | TINTON FALLS | NJ | 07701 | 783 |
| Dr. MARK L CUNNINGHAM | 7601 SOUTHCREST PKWY | SOUTHAVEN | MS | 38671 | 689 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 1,726 |
| Dr. TONYA C WASHBURN | 721 NW 6TH ST | OKLAHOMA CITY | OK | 73102 | 1,279 |
| Dr. RONALD S TAYLOR | 3535 W 13 MILE RD | ROYAL OAK | MI | 48073 | 1,019 |