*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 18.41 | |
| 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 885: PSYCHOSES | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 2,968 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons in DRG | 5.39 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 7.48 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 24.3 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 17.1 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | $39,415,538 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | $1,774 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | $13,280 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | $207,148,953 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | $69,794 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 10.41 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 26.11 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 22.07 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 1,098 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons in DRG | 1.99 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 6.55 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 28.9 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 23.21 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | $11,591,429 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | $1,611 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | $10,557 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | $56,419,806 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | $51,384 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 6.74 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 22.31 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 28.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 893 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons in DRG | 1.62 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 4.83 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 26.74 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 20.16 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | $5,759,928 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | $1,337 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | $6,450 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | $32,929,690 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | $36,875 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 2.8 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 20.27 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 36.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 313: CHEST PAIN | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 729 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons in DRG | 1.32 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 5.38 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 18.59 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 13.65 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | $5,353,508 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | $1,365 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | $7,344 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | $33,381,334 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | $45,791 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 1.51 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 18.93 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z5329 - Procedure and treatment not carried out because of patient's decision for other reasons | 37.31 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PIEDMONT COLUMBUS REGIONAL MIDTOWN | 710 CENTER ST | COLUMBUS | GA | 31901 | 631 |
| CONEY ISLAND HOSPITAL | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 575 |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 550 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID M ROGERS | 5645 MAIN ST | FLUSHING | NY | 11355 | 52 |
| Dr. GREGORY GOIKHBERG | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 47 |
| Dr. EDWARD B. STOLYAR | 150 55TH ST | BROOKLYN | NY | 11220 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY GOIKHBERG | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 64 |
| Dr. JIMMY MARTINS PAULO | 1 CLARA MAASS DR STE 202 | BELLEVILLE | NJ | 07109 | 63 |
| Dr. ALEKSANDR USOROV | 447 ATLANTIC AVE | BROOKLYN | NY | 11217 | 55 |