*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z79890 - Hormone replacement therapy (postmenopausal) - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 9.2 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 5,419 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z79890 - Hormone replacement therapy (postmenopausal) in DRG | 12.19 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 2.21 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 6.34 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 2.44 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z79890 - Hormone replacement therapy (postmenopausal) | $60,753,457 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z79890 - Hormone replacement therapy (postmenopausal) | $5,075 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z79890 - Hormone replacement therapy (postmenopausal) | $11,211 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z79890 - Hormone replacement therapy (postmenopausal) | $342,438,713 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z79890 - Hormone replacement therapy (postmenopausal) | $63,192 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z79890 - Hormone replacement therapy (postmenopausal) | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 16.68 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 34.64 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 833 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z79890 - Hormone replacement therapy (postmenopausal) in DRG | 1.87 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 4.49 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 19.51 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 15.06 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z79890 - Hormone replacement therapy (postmenopausal) | $7,301,444 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z79890 - Hormone replacement therapy (postmenopausal) | $1,954 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z79890 - Hormone replacement therapy (postmenopausal) | $8,765 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z79890 - Hormone replacement therapy (postmenopausal) | $27,759,725 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z79890 - Hormone replacement therapy (postmenopausal) | $33,325 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 1.68 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 18.25 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 37.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 521 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z79890 - Hormone replacement therapy (postmenopausal) in DRG | 1.17 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 3.51 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 13.45 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 10.08 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z79890 - Hormone replacement therapy (postmenopausal) | $3,036,368 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z79890 - Hormone replacement therapy (postmenopausal) | $1,659 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z79890 - Hormone replacement therapy (postmenopausal) | $5,828 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z79890 - Hormone replacement therapy (postmenopausal) | $14,372,921 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z79890 - Hormone replacement therapy (postmenopausal) | $27,587 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z79890 - Hormone replacement therapy (postmenopausal) | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 12.48 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 63.72 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 487 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD Z79890 - Hormone replacement therapy (postmenopausal) in DRG | 1.1 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 3.23 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 38.48 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 5.07 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD Z79890 - Hormone replacement therapy (postmenopausal) | $2,866,251 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD Z79890 - Hormone replacement therapy (postmenopausal) | $1,820 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD Z79890 - Hormone replacement therapy (postmenopausal) | $5,886 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD Z79890 - Hormone replacement therapy (postmenopausal) | $16,828,573 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD Z79890 - Hormone replacement therapy (postmenopausal) | $34,556 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD Z79890 - Hormone replacement therapy (postmenopausal) | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 16.84 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD Z79890 - Hormone replacement therapy (postmenopausal) | 31.21 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MCLAREN FLINT | 401 S BALLENGER HWY | FLINT | MI | 48532 | 907 |
| MCLAREN BAY REGION | 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 821 |
| MCLAREN MACOMB | 1000 HARRINGTON ST | MOUNT CLEMENS | MI | 48043 | 559 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JEFF D HEADRICK | 4642 N LOOP 289 | LUBBOCK | TX | 79416 | 82 |
| Dr. KENNETH JOSEPH KAMINSKI | 3414 GOLDEN RD | TYLER | TX | 75701 | 67 |
| Dr. GARY PAUL GOODFRIED | 1905 S DONNYBROOK AVE | TYLER | TX | 75701 | 66 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAYYID S RAZA | 5000 MAPLE ST. | FAIRGROVE | MI | 48733 | 95 |
| Dr. JEFF D HEADRICK | 4642 N LOOP 289 | LUBBOCK | TX | 79416 | 82 |
| Dr. MOHAMMED N SAEED | 169 SPRING VALLEY RD | PARAMUS | NJ | 07652 | 78 |