*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 16.44 | |
| 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 905 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels in DRG | 6.82 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 5.79 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 22.42 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 16.85 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | $10,534,665 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | $2,012 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | $11,641 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | $47,543,734 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | $52,535 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 14.7 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 22.54 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 20.99 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 222 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels in DRG | 1.67 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 5.33 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 22.54 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 16.9 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | $1,622,964 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | $1,372 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | $7,311 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | $8,583,592 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | $38,665 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 16.67 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 45.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 196 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels in DRG | 1.48 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 3.63 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 23.91 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 16.3 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | $873,612 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | $1,229 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | $4,457 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | $5,054,216 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | $25,787 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 23.47 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 41.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 151 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels in DRG | 1.14 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 5.12 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 20.41 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 16.33 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | $1,035,641 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | $1,340 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | $6,859 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | $4,862,968 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | $32,205 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 48.34 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD Z79818 - Long term (current) use of other agents affecting estrogen receptors and estrogen levels | 17.22 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SAINT FRANCIS HOSPITAL | 6161 S YALE AVE | TULSA | OK | 74136 | 323 |
| UF HEALTH SHANDS HOSPITAL | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 183 |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | 1301 PENNSYLVANIA AVE | FORT WORTH | TX | 76104 | 172 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. OLIVIA D MORAN | 1014 ROSE STREET | PRENTISS | MS | 39474 | 14 |
| Dr. LEIGHTON ROLSTON JAMES | 655 W 8TH ST | JACKSONVILLE | FL | 32209 | 13 |
| Dr. VERONICA TASSIN | 24 DOCTORS LN | CLARION | PA | 16214 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AMANDEEP KAUR DHATT | 200 CARMAN AVE | EAST MEADOW | NY | 11554 | 20 |
| Dr. MARLON ALANDO CLARKE | 555 E CHEVES ST | FLORENCE | SC | 29506 | 20 |
| Dr. JONATHAN ELIOT LEVINE | 6160 S YALE AVE | TULSA | OK | 74136 | 20 |