*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z7189 - Other specified counseling - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.6 | |
| 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 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z7189 - Other specified counseling | 588 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z7189 - Other specified counseling in DRG | 7.97 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z7189 - Other specified counseling | 10.74 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z7189 - Other specified counseling | 28.55 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z7189 - Other specified counseling | 15.6 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z7189 - Other specified counseling | $5,750,822 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z7189 - Other specified counseling | $910 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z7189 - Other specified counseling | $9,780 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z7189 - Other specified counseling | $18,198,252 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z7189 - Other specified counseling | $30,949 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z7189 - Other specified counseling | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z7189 - Other specified counseling | 6.29 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z7189 - Other specified counseling | 80.61 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z7189 - Other specified counseling | 135 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z7189 - Other specified counseling in DRG | 1.83 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z7189 - Other specified counseling | 4.38 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z7189 - Other specified counseling | 13.08 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z7189 - Other specified counseling | 12.31 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z7189 - Other specified counseling | $1,024,070 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z7189 - Other specified counseling | $1,733 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z7189 - Other specified counseling | $7,586 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z7189 - Other specified counseling | $4,585,769 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z7189 - Other specified counseling | $33,969 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z7189 - Other specified counseling | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z7189 - Other specified counseling | 14.81 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z7189 - Other specified counseling | 57.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z7189 - Other specified counseling | 111 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z7189 - Other specified counseling in DRG | 1.5 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z7189 - Other specified counseling | 5.06 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z7189 - Other specified counseling | 20.19 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z7189 - Other specified counseling | 14.42 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z7189 - Other specified counseling | $963,855 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z7189 - Other specified counseling | $1,715 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z7189 - Other specified counseling | $8,683 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z7189 - Other specified counseling | $4,060,882 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z7189 - Other specified counseling | $36,585 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z7189 - Other specified counseling | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z7189 - Other specified counseling | 24.32 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z7189 - Other specified counseling | 44.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD Z7189 - Other specified counseling | 86 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD Z7189 - Other specified counseling in DRG | 1.17 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD Z7189 - Other specified counseling | 3.66 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD Z7189 - Other specified counseling | 26.58 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD Z7189 - Other specified counseling | 22.78 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD Z7189 - Other specified counseling | $543,294 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD Z7189 - Other specified counseling | $1,725 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD Z7189 - Other specified counseling | $6,317 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD Z7189 - Other specified counseling | $2,307,380 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD Z7189 - Other specified counseling | $26,830 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD Z7189 - Other specified counseling | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD Z7189 - Other specified counseling | NA | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD Z7189 - Other specified counseling | 73.26 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| STRAUB MEDICAL CENTER | 888 S KING ST | HONOLULU | HI | 96813 | 635 |
| NCH BAKER HOSPITAL DOWNTOWN | 350 7TH ST N | NAPLES | FL | 34102 | 385 |
| THE MEDICAL CENTER, NAVICENT HEALTH | 777 HEMLOCK ST | MACON | GA | 31201 | 274 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN DORR | 1 FOX CARE DR | ONEONTA | NY | 13820 | 51 |
| Dr. CASS K. NAKASONE | 888 S KING ST | HONOLULU | HI | 96813 | 21 |
| Dr. ASHLEY M. ONO | 4077 5TH AVE | SAN DIEGO | CA | 92103 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TINA CHEUNG KAYNE | 888 S KING ST | HONOLULU | HI | 96813 | 72 |
| Dr. PETER L SOSNOW | 600 NORTHERN BLVD | ALBANY | NY | 12204 | 60 |
| Dr. ASHLEY M. ONO | 4077 5TH AVE | SAN DIEGO | CA | 92103 | 58 |