*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z596 - Low income - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.53 | |
| 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 885: PSYCHOSES | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 881: DEPRESSIVE NEUROSES | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z596 - Low income | 1,848 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z596 - Low income in DRG | 54.53 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z596 - Low income | 11.68 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z596 - Low income | 29.06 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z596 - Low income | 9.53 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z596 - Low income | $16,078,687 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z596 - Low income | $745 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z596 - Low income | $8,701 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z596 - Low income | $43,518,204 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z596 - Low income | $23,549 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z596 - Low income | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z596 - Low income | 0.97 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z596 - Low income | 89.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z596 - Low income | 37 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z596 - Low income in DRG | 1.09 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z596 - Low income | 3.57 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z596 - Low income | NA | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z596 - Low income | NA | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z596 - Low income | $267,535 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z596 - Low income | $2,027 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z596 - Low income | $7,231 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z596 - Low income | $1,122,986 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z596 - Low income | $30,351 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z596 - Low income | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z596 - Low income | NA | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z596 - Low income | 78.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,507 | ||||
| Total Hospitalizations with ICD Z596 - Low income | 25 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD Z596 - Low income in DRG | 0.74 | ||||
| Avg LOS at DRG | 11.23 | ||||
| Avg LOS with ICD Z596 - Low income | 11.96 | ||||
| Readmission Rate at DRG | 20.52 | ||||
| Readmission Rate with ICD Z596 - Low income | NA | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD Z596 - Low income | NA | ||||
| Total Medicare payments at DRG | $1,495,371,248 | ||||
| Total Medicare payments with ICD Z596 - Low income | $289,159 | ||||
| Total Medicare payment per Day at DRG | $922 | ||||
| Total Medicare payment per Day with ICD Z596 - Low income | $967 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,348 | ||||
| Total Medicare payment per Hospitalization with ICD Z596 - Low income | $11,566 | ||||
| Total Medicare Charges at DRG | $5,107,483,805 | ||||
| Total Medicare Charges with ICD Z596 - Low income | $993,326 | ||||
| Avg Charges at DRG | $35,344 | ||||
| Avg Charges with ICD Z596 - Low income | $39,733 | ||||
| Mortality Rate at DRG | 0.73 | ||||
| Mortality Rate with ICD Z596 - Low income | NA | ||||
| SNF Discharge Rate at DRG | 38.43 | ||||
| SNF Discharge Rate with ICD Z596 - Low income | NA | ||||
| Home Discharge Rate at DRG | 27.81 | ||||
| Home Discharge Rate with ICD Z596 - Low income | 48.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 882: NEUROSES EXCEPT DEPRESSIVE | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 22,451 | ||||
| Total Hospitalizations with ICD Z596 - Low income | 20 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD Z596 - Low income in DRG | 0.59 | ||||
| Avg LOS at DRG | 7.27 | ||||
| Avg LOS with ICD Z596 - Low income | 5.65 | ||||
| Readmission Rate at DRG | 20.53 | ||||
| Readmission Rate with ICD Z596 - Low income | NA | ||||
| Unplanned Readmission Rate at DRG | 10.81 | ||||
| Unplanned Readmission Rate with ICD Z596 - Low income | NA | ||||
| Total Medicare payments at DRG | $122,713,938 | ||||
| Total Medicare payments with ICD Z596 - Low income | $109,981 | ||||
| Total Medicare payment per Day at DRG | $751 | ||||
| Total Medicare payment per Day with ICD Z596 - Low income | $973 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,466 | ||||
| Total Medicare payment per Hospitalization with ICD Z596 - Low income | $5,499 | ||||
| Total Medicare Charges at DRG | $442,340,377 | ||||
| Total Medicare Charges with ICD Z596 - Low income | $435,308 | ||||
| Avg Charges at DRG | $19,702 | ||||
| Avg Charges with ICD Z596 - Low income | $21,765 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z596 - Low income | NA | ||||
| SNF Discharge Rate at DRG | 3.92 | ||||
| SNF Discharge Rate with ICD Z596 - Low income | NA | ||||
| Home Discharge Rate at DRG | 84.46 | ||||
| Home Discharge Rate with ICD Z596 - Low income | 95.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| DESERT PARKWAY BEHAVIORAL HEALTHCARE HOSPITAL | 3247 S MARYLAND PKWY | LAS VEGAS | NV | 89109 | 815 |
| MONTEVISTA HOSPITAL | 5900 W ROCHELLE AVE | LAS VEGAS | NV | 89103 | 255 |
| MAGNOLIA REGIONAL HEALTH CENTER | 611 ALCORN DR | CORINTH | MS | 38834 | 171 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FAISAL AHMED SUBA | 2040 W CHARLESTON BLVD STE 202A | LAS VEGAS | NV | 89102 | 76 |
| Dr. MELISSA D THOMPSON | 4371 NARROW LANE RD | MONTGOMERY | AL | 36116 | 73 |
| Dr. DONALD HUGH MAYES | 7351 W CHARLESTON BLVD | LAS VEGAS | NV | 89117 | 45 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DONALD HUGH MAYES | 7351 W CHARLESTON BLVD | LAS VEGAS | NV | 89117 | 340 |
| Dr. FAISAL AHMED SUBA | 2040 W CHARLESTON BLVD STE 202A | LAS VEGAS | NV | 89102 | 126 |
| Dr. OLAYINKA OLANIYI AKINWUMIJU | 8135 GOODMAN ROAD | OLIVE BRANCH | MS | 38654 | 103 |