*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 22.81 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | DRG 313: CHEST PAIN | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | 1,016 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider in DRG | 4.08 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | 3.33 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | 33.67 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | 22.45 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | $11,503,218 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | $3,403 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | $11,322 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | $48,282,842 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | $47,522 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | NA | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | 6.0 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | 614 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider in DRG | 2.47 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | 5.02 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | 32.93 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | 17.07 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | $3,202,763 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | $1,040 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | $5,216 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | $11,735,666 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | $19,113 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | 23.94 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | 472 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider in DRG | 1.9 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | 1.85 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | 48.15 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | 44.44 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | $3,633,184 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | $4,166 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | $7,697 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | $12,508,624 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | $26,501 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | NA | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | NA | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | 5.08 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 312: SYNCOPE AND COLLAPSE | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 243,742 | ||||
| Total Hospitalizations with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | 360 | ||||
| DRG Share of Total Hospitalizations | 0.74 | ||||
| % of Total ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider in DRG | 1.45 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | 1.09 | ||||
| Readmission Rate at DRG | 16.31 | ||||
| Readmission Rate with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | NA | ||||
| Unplanned Readmission Rate at DRG | 11.3 | ||||
| Unplanned Readmission Rate with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | NA | ||||
| Total Medicare payments at DRG | $1,150,233,161 | ||||
| Total Medicare payments with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | $1,734,311 | ||||
| Total Medicare payment per Day at DRG | $1,663 | ||||
| Total Medicare payment per Day with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | $4,402 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,719 | ||||
| Total Medicare payment per Hospitalization with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | $4,818 | ||||
| Total Medicare Charges at DRG | $6,931,408,244 | ||||
| Total Medicare Charges with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | $9,337,347 | ||||
| Avg Charges at DRG | $28,437 | ||||
| Avg Charges with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | $25,937 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | NA | ||||
| SNF Discharge Rate at DRG | 18.06 | ||||
| SNF Discharge Rate with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | NA | ||||
| Home Discharge Rate at DRG | 53.49 | ||||
| Home Discharge Rate with ICD Z5321 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider | 7.22 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SUNRISE HOSPITAL AND MEDICAL CENTER | 3186 S MARYLAND PKWY | LAS VEGAS | NV | 89109 | 356 |
| CENTINELA HOSPITAL MEDICAL CENTER | 555 E HARDY ST | INGLEWOOD | CA | 90301 | 264 |
| OSCEOLA REGIONAL MEDICAL CENTER | 700 W OAK ST | KISSIMMEE | FL | 34741 | 205 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RUDY JEROME VERVAEKE | 21420 HARPER AVE | SAINT CLAIR SHORES | MI | 48080 | 28 |
| Dr. GAIL MARIA BAILEY WALLACE | 95 GRASSLANDS RD NEW YORK MEDICAL COLLEGE | VALHALLA | NY | 10595 | 21 |
| Dr. DAHUA ZHOU | 2201 HEMPSTEAD TURNPIKE | EAST MEADOW | NY | 11554 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MOHSEN KHERADPEZHOUH | 10465 EASTBORNE AVE APT 306 | LOS ANGELES | CA | 90024 | 56 |
| Dr. ABHINAV SINHA | 2031 MCDANIEL ST | N LAS VEGAS | NV | 89030 | 40 |
| Dr. ELHAM GHADISHAH | 3831 HUGHES AVE | CULVER CITY | CA | 90232 | 37 |