*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z736 - Limitation of activities due to disability - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.65 | |
| 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z736 - Limitation of activities due to disability | 988 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z736 - Limitation of activities due to disability in DRG | 18.8 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z736 - Limitation of activities due to disability | 9.31 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z736 - Limitation of activities due to disability | 24.44 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z736 - Limitation of activities due to disability | 15.63 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z736 - Limitation of activities due to disability | $8,804,157 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z736 - Limitation of activities due to disability | $958 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z736 - Limitation of activities due to disability | $8,911 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z736 - Limitation of activities due to disability | $30,527,260 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z736 - Limitation of activities due to disability | $30,898 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z736 - Limitation of activities due to disability | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z736 - Limitation of activities due to disability | 37.35 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z736 - Limitation of activities due to disability | 46.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD Z736 - Limitation of activities due to disability | 191 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z736 - Limitation of activities due to disability in DRG | 3.63 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD Z736 - Limitation of activities due to disability | 12.41 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD Z736 - Limitation of activities due to disability | 16.15 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD Z736 - Limitation of activities due to disability | 9.32 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD Z736 - Limitation of activities due to disability | $3,521,440 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD Z736 - Limitation of activities due to disability | $1,485 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD Z736 - Limitation of activities due to disability | $18,437 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD Z736 - Limitation of activities due to disability | $6,050,087 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD Z736 - Limitation of activities due to disability | $31,676 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD Z736 - Limitation of activities due to disability | NA | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD Z736 - Limitation of activities due to disability | 9.95 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD Z736 - Limitation of activities due to disability | 22.51 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD Z736 - Limitation of activities due to disability | 88 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD Z736 - Limitation of activities due to disability in DRG | 1.67 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD Z736 - Limitation of activities due to disability | 14.72 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD Z736 - Limitation of activities due to disability | 17.72 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD Z736 - Limitation of activities due to disability | NA | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD Z736 - Limitation of activities due to disability | $1,742,474 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD Z736 - Limitation of activities due to disability | $1,346 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD Z736 - Limitation of activities due to disability | $19,801 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD Z736 - Limitation of activities due to disability | $3,466,854 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD Z736 - Limitation of activities due to disability | $39,396 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD Z736 - Limitation of activities due to disability | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD Z736 - Limitation of activities due to disability | 15.91 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD Z736 - Limitation of activities due to disability | 36.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | DRG 950: AFTERCARE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,218 | ||||
| Total Hospitalizations with ICD Z736 - Limitation of activities due to disability | 72 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD Z736 - Limitation of activities due to disability in DRG | 1.37 | ||||
| Avg LOS at DRG | 7.4 | ||||
| Avg LOS with ICD Z736 - Limitation of activities due to disability | 12.15 | ||||
| Readmission Rate at DRG | 26.4 | ||||
| Readmission Rate with ICD Z736 - Limitation of activities due to disability | 21.31 | ||||
| Unplanned Readmission Rate at DRG | 19.51 | ||||
| Unplanned Readmission Rate with ICD Z736 - Limitation of activities due to disability | 19.67 | ||||
| Total Medicare payments at DRG | $694,366,430 | ||||
| Total Medicare payments with ICD Z736 - Limitation of activities due to disability | $1,318,774 | ||||
| Total Medicare payment per Day at DRG | $1,611 | ||||
| Total Medicare payment per Day with ICD Z736 - Limitation of activities due to disability | $1,507 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,927 | ||||
| Total Medicare payment per Hospitalization with ICD Z736 - Limitation of activities due to disability | $18,316 | ||||
| Total Medicare Charges at DRG | $2,299,290,199 | ||||
| Total Medicare Charges with ICD Z736 - Limitation of activities due to disability | $2,069,648 | ||||
| Avg Charges at DRG | $39,494 | ||||
| Avg Charges with ICD Z736 - Limitation of activities due to disability | $28,745 | ||||
| Mortality Rate at DRG | 2.37 | ||||
| Mortality Rate with ICD Z736 - Limitation of activities due to disability | NA | ||||
| SNF Discharge Rate at DRG | 20.38 | ||||
| SNF Discharge Rate with ICD Z736 - Limitation of activities due to disability | NA | ||||
| Home Discharge Rate at DRG | 26.95 | ||||
| Home Discharge Rate with ICD Z736 - Limitation of activities due to disability | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| REHABILITATION HOSPITAL | 3351 NORTHSIDE DR | MACON | GA | 31210 | 758 |
| SHERMAN OAKS HOSPITAL | 4929 VAN NUYS BLVD. | SHERMAN OAKS | CA | 91403 | 634 |
| NORTHEAST REHABILITATION HOSPITAL - SALEM | 70 BUTLER STREET | SALEM | NH | 03079 | 430 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES M LANCASTER | 3900 JUNIUS ST | DALLAS | TX | 75246 | 21 |
| Dr. JOHN P. RINARD | 333 BORTHWICK AVENUE | PORTSMOUTH | NH | 03801 | 19 |
| Dr. HOSSAM ALGAMIL | 333 BORTHWICK AVE | PORTSMOUTH | NH | 03801 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALLISON PAIGE SCHEETZ | 3351 NORTHSIDE DR | MACON | GA | 31210 | 322 |
| Dr. BABAK B. MIRIN | 3500 COMANCHE RD NE | ALBUQUERQUE | NM | 87107 | 302 |
| Dr. TRISTA JACINTA MARSHALL | 3351 NORTHSIDE DR | MACON | GA | 31210 | 273 |