*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z7401 - Bed confinement status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 18.85 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z7401 - Bed confinement status | 49,452 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z7401 - Bed confinement status in DRG | 17.43 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z7401 - Bed confinement status | 6.88 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z7401 - Bed confinement status | 25.01 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z7401 - Bed confinement status | 18.86 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z7401 - Bed confinement status | $600,597,302 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z7401 - Bed confinement status | $1,765 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z7401 - Bed confinement status | $12,145 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z7401 - Bed confinement status | $3,020,137,271 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z7401 - Bed confinement status | $61,072 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z7401 - Bed confinement status | 13.63 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z7401 - Bed confinement status | 33.9 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z7401 - Bed confinement status | 10.65 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD Z7401 - Bed confinement status | 7,198 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z7401 - Bed confinement status in DRG | 2.54 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD Z7401 - Bed confinement status | 12.85 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD Z7401 - Bed confinement status | 40.0 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD Z7401 - Bed confinement status | 21.34 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD Z7401 - Bed confinement status | $230,798,072 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD Z7401 - Bed confinement status | $2,496 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD Z7401 - Bed confinement status | $32,064 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD Z7401 - Bed confinement status | $908,790,322 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD Z7401 - Bed confinement status | $126,256 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD Z7401 - Bed confinement status | 9.46 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD Z7401 - Bed confinement status | 40.57 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD Z7401 - Bed confinement status | 5.7 |
*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 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z7401 - Bed confinement status | 5,399 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z7401 - Bed confinement status in DRG | 1.9 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z7401 - Bed confinement status | 6.29 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z7401 - Bed confinement status | 23.69 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z7401 - Bed confinement status | 18.61 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z7401 - Bed confinement status | $48,389,753 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z7401 - Bed confinement status | $1,426 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z7401 - Bed confinement status | $8,963 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z7401 - Bed confinement status | $259,043,860 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z7401 - Bed confinement status | $47,980 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z7401 - Bed confinement status | 6.95 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z7401 - Bed confinement status | 34.01 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z7401 - Bed confinement status | 15.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,057 | ||||
| Total Hospitalizations with ICD Z7401 - Bed confinement status | 3,178 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD Z7401 - Bed confinement status in DRG | 1.12 | ||||
| Avg LOS at DRG | 5.35 | ||||
| Avg LOS with ICD Z7401 - Bed confinement status | 5.8 | ||||
| Readmission Rate at DRG | 21.3 | ||||
| Readmission Rate with ICD Z7401 - Bed confinement status | 22.88 | ||||
| Unplanned Readmission Rate at DRG | 15.67 | ||||
| Unplanned Readmission Rate with ICD Z7401 - Bed confinement status | 18.96 | ||||
| Total Medicare payments at DRG | $920,227,801 | ||||
| Total Medicare payments with ICD Z7401 - Bed confinement status | $26,697,044 | ||||
| Total Medicare payment per Day at DRG | $1,576 | ||||
| Total Medicare payment per Day with ICD Z7401 - Bed confinement status | $1,449 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,438 | ||||
| Total Medicare payment per Hospitalization with ICD Z7401 - Bed confinement status | $8,401 | ||||
| Total Medicare Charges at DRG | $4,179,019,701 | ||||
| Total Medicare Charges with ICD Z7401 - Bed confinement status | $127,214,632 | ||||
| Avg Charges at DRG | $38,320 | ||||
| Avg Charges with ICD Z7401 - Bed confinement status | $40,030 | ||||
| Mortality Rate at DRG | 1.76 | ||||
| Mortality Rate with ICD Z7401 - Bed confinement status | 3.21 | ||||
| SNF Discharge Rate at DRG | 27.6 | ||||
| SNF Discharge Rate with ICD Z7401 - Bed confinement status | 33.13 | ||||
| Home Discharge Rate at DRG | 33.88 | ||||
| Home Discharge Rate with ICD Z7401 - Bed confinement status | 20.17 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAIMONIDES MEDICAL CENTER | 4802 10TH AVE | BROOKLYN | NY | 11219 | 1,597 |
| NORTH MISSISSIPPI HEALTH SERVICES | 830 S GLOSTER ST | TUPELO | MS | 38801 | 1,365 |
| LONG ISLAND JEWISH MEDICAL CENTER | 270-05 76 AVE | NEW HYDE PARK | NY | 11040 | 1,224 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EDITH NEBUWA ANIEDOBE | 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 124 |
| Dr. DEVMANI JAITLY | 1740 EASTCHESTER ROAD | BRONX | NY | 10461 | 113 |
| Dr. AMIN ELMALAH | 3510 MEDICAL PARK DR. | MONROE | LA | 71201 | 90 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUKESHKUMAR B PATEL | 4212 CARMICHAEL CT N | MONTGOMERY | AL | 36106 | 210 |
| Dr. DEVMANI JAITLY | 1740 EASTCHESTER ROAD | BRONX | NY | 10461 | 193 |
| Dr. JOSEPH L PRATT | 121 PRATT DR | CORINTH | MS | 38834 | 184 |