*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z539 - Procedure and treatment not carried out, unspecified reason - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.3 | |
| 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 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 51,757 | ||||
| Total Hospitalizations with ICD Z539 - Procedure and treatment not carried out, unspecified reason | 370 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD Z539 - Procedure and treatment not carried out, unspecified reason in DRG | 4.43 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD Z539 - Procedure and treatment not carried out, unspecified reason | 0.08 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD Z539 - Procedure and treatment not carried out, unspecified reason | 52.96 | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD Z539 - Procedure and treatment not carried out, unspecified reason | NA | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD Z539 - Procedure and treatment not carried out, unspecified reason | $989,918 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD Z539 - Procedure and treatment not carried out, unspecified reason | $31,933 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD Z539 - Procedure and treatment not carried out, unspecified reason | $2,675 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD Z539 - Procedure and treatment not carried out, unspecified reason | $1,738,283 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD Z539 - Procedure and treatment not carried out, unspecified reason | $4,698 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z539 - Procedure and treatment not carried out, unspecified reason | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD Z539 - Procedure and treatment not carried out, unspecified reason | NA | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD Z539 - Procedure and treatment not carried out, unspecified reason | 94.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 307: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 221,460 | ||||
| Total Hospitalizations with ICD Z539 - Procedure and treatment not carried out, unspecified reason | 133 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD Z539 - Procedure and treatment not carried out, unspecified reason in DRG | 1.59 | ||||
| Avg LOS at DRG | 2.1 | ||||
| Avg LOS with ICD Z539 - Procedure and treatment not carried out, unspecified reason | 1.71 | ||||
| Readmission Rate at DRG | 11.15 | ||||
| Readmission Rate with ICD Z539 - Procedure and treatment not carried out, unspecified reason | 19.69 | ||||
| Unplanned Readmission Rate at DRG | 7.88 | ||||
| Unplanned Readmission Rate with ICD Z539 - Procedure and treatment not carried out, unspecified reason | 8.66 | ||||
| Total Medicare payments at DRG | $635,922,710 | ||||
| Total Medicare payments with ICD Z539 - Procedure and treatment not carried out, unspecified reason | $347,644 | ||||
| Total Medicare payment per Day at DRG | $1,367 | ||||
| Total Medicare payment per Day with ICD Z539 - Procedure and treatment not carried out, unspecified reason | $1,531 | ||||
| Total Medicare payment per Hospitalization at DRG | $2,872 | ||||
| Total Medicare payment per Hospitalization with ICD Z539 - Procedure and treatment not carried out, unspecified reason | $2,614 | ||||
| Total Medicare Charges at DRG | $4,179,979,444 | ||||
| Total Medicare Charges with ICD Z539 - Procedure and treatment not carried out, unspecified reason | $2,805,087 | ||||
| Avg Charges at DRG | $18,875 | ||||
| Avg Charges with ICD Z539 - Procedure and treatment not carried out, unspecified reason | $21,091 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD Z539 - Procedure and treatment not carried out, unspecified reason | NA | ||||
| SNF Discharge Rate at DRG | 4.01 | ||||
| SNF Discharge Rate with ICD Z539 - Procedure and treatment not carried out, unspecified reason | NA | ||||
| Home Discharge Rate at DRG | 82.23 | ||||
| Home Discharge Rate with ICD Z539 - Procedure and treatment not carried out, unspecified reason | 89.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 301: PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 227,705 | ||||
| Total Hospitalizations with ICD Z539 - Procedure and treatment not carried out, unspecified reason | 110 | ||||
| DRG Share of Total Hospitalizations | 0.69 | ||||
| % of Total ICD Z539 - Procedure and treatment not carried out, unspecified reason in DRG | 1.32 | ||||
| Avg LOS at DRG | 4.51 | ||||
| Avg LOS with ICD Z539 - Procedure and treatment not carried out, unspecified reason | 4.75 | ||||
| Readmission Rate at DRG | 24.66 | ||||
| Readmission Rate with ICD Z539 - Procedure and treatment not carried out, unspecified reason | 24.21 | ||||
| Unplanned Readmission Rate at DRG | 18.32 | ||||
| Unplanned Readmission Rate with ICD Z539 - Procedure and treatment not carried out, unspecified reason | 15.79 | ||||
| Total Medicare payments at DRG | $1,725,174,811 | ||||
| Total Medicare payments with ICD Z539 - Procedure and treatment not carried out, unspecified reason | $796,660 | ||||
| Total Medicare payment per Day at DRG | $1,678 | ||||
| Total Medicare payment per Day with ICD Z539 - Procedure and treatment not carried out, unspecified reason | $1,526 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,576 | ||||
| Total Medicare payment per Hospitalization with ICD Z539 - Procedure and treatment not carried out, unspecified reason | $7,242 | ||||
| Total Medicare Charges at DRG | $8,683,995,141 | ||||
| Total Medicare Charges with ICD Z539 - Procedure and treatment not carried out, unspecified reason | $4,932,645 | ||||
| Avg Charges at DRG | $38,137 | ||||
| Avg Charges with ICD Z539 - Procedure and treatment not carried out, unspecified reason | $44,842 | ||||
| Mortality Rate at DRG | 4.12 | ||||
| Mortality Rate with ICD Z539 - Procedure and treatment not carried out, unspecified reason | NA | ||||
| SNF Discharge Rate at DRG | 17.01 | ||||
| SNF Discharge Rate with ICD Z539 - Procedure and treatment not carried out, unspecified reason | NA | ||||
| Home Discharge Rate at DRG | 48.19 | ||||
| Home Discharge Rate with ICD Z539 - Procedure and treatment not carried out, unspecified reason | 54.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH 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 | 138,345 | ||||
| Total Hospitalizations with ICD Z539 - Procedure and treatment not carried out, unspecified reason | 84 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD Z539 - Procedure and treatment not carried out, unspecified reason in DRG | 1.01 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD Z539 - Procedure and treatment not carried out, unspecified reason | 5.93 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD Z539 - Procedure and treatment not carried out, unspecified reason | 26.76 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD Z539 - Procedure and treatment not carried out, unspecified reason | 15.49 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD Z539 - Procedure and treatment not carried out, unspecified reason | $1,064,424 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD Z539 - Procedure and treatment not carried out, unspecified reason | $2,137 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z539 - Procedure and treatment not carried out, unspecified reason | $12,672 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD Z539 - Procedure and treatment not carried out, unspecified reason | $5,528,807 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD Z539 - Procedure and treatment not carried out, unspecified reason | $65,819 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD Z539 - Procedure and treatment not carried out, unspecified reason | NA | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD Z539 - Procedure and treatment not carried out, unspecified reason | 16.67 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD Z539 - Procedure and treatment not carried out, unspecified reason | 52.38 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 62 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 57 |
| CONCORD HOSPITAL | 250 PLEASANT ST | CONCORD | NH | 03301 | 47 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JEFFREY ALAN BRINK | 2218 N 3RD ST | PHOENIX | AZ | 85004 | 12 |