*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z723 - Lack of physical exercise - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.72 | |
| 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z723 - Lack of physical exercise | 81 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z723 - Lack of physical exercise in DRG | 4.51 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z723 - Lack of physical exercise | 6.23 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z723 - Lack of physical exercise | 27.27 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z723 - Lack of physical exercise | 22.08 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z723 - Lack of physical exercise | $841,606 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z723 - Lack of physical exercise | $1,667 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z723 - Lack of physical exercise | $10,390 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z723 - Lack of physical exercise | $3,695,632 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z723 - Lack of physical exercise | $45,625 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z723 - Lack of physical exercise | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z723 - Lack of physical exercise | 23.46 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z723 - Lack of physical exercise | 27.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD Z723 - Lack of physical exercise | 41 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD Z723 - Lack of physical exercise in DRG | 2.28 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD Z723 - Lack of physical exercise | 4.46 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD Z723 - Lack of physical exercise | NA | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD Z723 - Lack of physical exercise | NA | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD Z723 - Lack of physical exercise | $265,018 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD Z723 - Lack of physical exercise | $1,448 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD Z723 - Lack of physical exercise | $6,464 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD Z723 - Lack of physical exercise | $1,144,352 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD Z723 - Lack of physical exercise | $27,911 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD Z723 - Lack of physical exercise | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD Z723 - Lack of physical exercise | 29.27 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD Z723 - Lack of physical exercise | 31.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT 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 | 250,159 | ||||
| Total Hospitalizations with ICD Z723 - Lack of physical exercise | 28 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD Z723 - Lack of physical exercise in DRG | 1.56 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD Z723 - Lack of physical exercise | 4.71 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD Z723 - Lack of physical exercise | NA | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD Z723 - Lack of physical exercise | NA | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD Z723 - Lack of physical exercise | $273,715 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD Z723 - Lack of physical exercise | $2,074 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD Z723 - Lack of physical exercise | $9,776 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD Z723 - Lack of physical exercise | $1,388,583 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD Z723 - Lack of physical exercise | $49,592 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z723 - Lack of physical exercise | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD Z723 - Lack of physical exercise | NA | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD Z723 - Lack of physical exercise | 46.43 |
*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 313: CHEST PAIN | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z723 - Lack of physical exercise | 24 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z723 - Lack of physical exercise in DRG | 1.34 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z723 - Lack of physical exercise | 5.83 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z723 - Lack of physical exercise | NA | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z723 - Lack of physical exercise | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z723 - Lack of physical exercise | $180,804 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z723 - Lack of physical exercise | $1,291 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z723 - Lack of physical exercise | $7,534 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z723 - Lack of physical exercise | $1,061,071 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z723 - Lack of physical exercise | $44,211 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z723 - Lack of physical exercise | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z723 - Lack of physical exercise | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z723 - Lack of physical exercise | 45.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SAINT JOSEPH LONDON | 1001 SAINT JOSEPH LN | LONDON | KY | 40741 | 171 |
| ST. CHARLES HOSPITAL | 200 BELLE TERRE RD | PORT JEFFERSON | NY | 11777 | 75 |
| ADVENTIST HEALTH AND RIDEOUT | 726 4TH ST | MARYSVILLE | CA | 95901 | 54 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK DAVID SOLOMON | 701 ROUTE 25A | MOUNT SINAI | NY | 11766 | 26 |
| Dr. GOPALA KRISHNA BALAPPA RAO | 1210 W 5TH ST | LONDON | KY | 40741 | 20 |
| Dr. JUN ZHANG | 200 BELLE TERRE RD # E140 | PORT JEFFERSON | NY | 11777 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK DAVID SOLOMON | 701 ROUTE 25A | MOUNT SINAI | NY | 11766 | 26 |
| Dr. VICTOR JOHN KIRCHOFF | 328 N 2ND ST | VINCENNES | IN | 47591 | 22 |
| Dr. MCLEAN JOHNSON ROMAIN | 1500 5TH AVE | MCKEESPORT | PA | 15132 | 19 |