*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z751 - Person awaiting admission to adequate facility elsewhere - as a primary diagnosis code | Z751 - Person awaiting admission to adequate facility elsewhere - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 16.06 | |
| Readmission Rate (%) | 24.46 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 951: OTHER FACTORS INFLUENCING HEALTH STATUS | |
|---|---|
| Total Hospitalizations at DRG | 4,475 |
| Total Hospitalizations with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 12 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD Z751 - Person awaiting admission to adequate facility elsewhere in DRG | 92.31 |
| Avg LOS at DRG | 6.46 |
| Avg LOS with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 20.58 |
| Readmission Rate at DRG | 21.75 |
| Readmission Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | NA |
| Unplanned Readmission Rate at DRG | 13.67 |
| Unplanned Readmission Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | NA |
| Total Medicare payments at DRG | $24,331,342 |
| Total Medicare payments with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $0 |
| Total Medicare payment per Day at DRG | $842 |
| Total Medicare payment per Day with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $0 |
| Total Medicare payment per Hospitalization at DRG | $5,437 |
| Total Medicare payment per Hospitalization with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $0 |
| Total Medicare Charges at DRG | $86,404,017 |
| Total Medicare Charges with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $522,484 |
| Avg Charges at DRG | $19,308 |
| Avg Charges with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $43,540 |
| Mortality Rate at DRG | 26.77 |
| Mortality Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | NA |
| SNF Discharge Rate at DRG | 8.09 |
| SNF Discharge Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | NA |
| Home Discharge Rate at DRG | 40.13 |
| Home Discharge Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | NA |
*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 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 1,494 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z751 - Person awaiting admission to adequate facility elsewhere in DRG | 6.64 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 38.4 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 28.0 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 12.64 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $32,999,442 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $575 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $22,088 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $201,336,577 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $134,763 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 16.47 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 35.68 |
*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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 498 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z751 - Person awaiting admission to adequate facility elsewhere in DRG | 2.21 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 13.26 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 28.47 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 20.73 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $7,042,027 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $1,067 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $14,141 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $40,334,419 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $80,993 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 2.21 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 58.63 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 8.84 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 340 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z751 - Person awaiting admission to adequate facility elsewhere in DRG | 1.51 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 15.18 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 25.95 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 18.67 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $4,621,553 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $895 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $13,593 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $26,784,786 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $78,779 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 62.06 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 11.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 289 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD Z751 - Person awaiting admission to adequate facility elsewhere in DRG | 1.29 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 16.41 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 35.56 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 16.67 | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $4,539,958 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $957 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $15,709 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $29,217,601 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD Z751 - Person awaiting admission to adequate facility elsewhere | $101,099 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 54.67 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD Z751 - Person awaiting admission to adequate facility elsewhere | 4.84 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CONEY ISLAND HOSPITAL | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 826 |
| NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 688 |
| NYC HEALTH + HOSPITAL/LINCOLN | 234 E 149TH ST RM 2A1 | BRONX | NY | 10451 | 355 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID DANIEL ROBINSON | 1244 HEIDELBERG WAY | LODI | CA | 95242 | 90 |
| Dr. CHI-CHANG DAVID LIN | 525 EAST 68TH STREET, BAKER 116 | NEW YORK | NY | 10021 | 74 |
| Dr. GREGORY GOIKHBERG | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 61 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID DANIEL ROBINSON | 1244 HEIDELBERG WAY | LODI | CA | 95242 | 92 |
| Dr. GREGORY GOIKHBERG | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 84 |
| Dr. TRENTON ELIOT MOYER | 3252 HOLIDAY CT | LA JOLLA | CA | 92037 | 81 |