*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z79899 - Other long term (current) drug therapy - as a primary diagnosis code | Z79899 - Other long term (current) drug therapy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.54 | |
| Readmission Rate (%) | 20.88 | |
| 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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 950: AFTERCARE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 120,351 | |
| Total Hospitalizations with ICD Z79899 - Other long term (current) drug therapy | 48 | |
| DRG Share of Total Hospitalizations | 0.37 | |
| % of Total ICD Z79899 - Other long term (current) drug therapy in DRG | 51.61 | |
| Avg LOS at DRG | 12.45 | |
| Avg LOS with ICD Z79899 - Other long term (current) drug therapy | 5.35 | |
| Readmission Rate at DRG | 17.61 | |
| Readmission Rate with ICD Z79899 - Other long term (current) drug therapy | NA | |
| Unplanned Readmission Rate at DRG | 12.6 | |
| Unplanned Readmission Rate with ICD Z79899 - Other long term (current) drug therapy | NA | |
| Total Medicare payments at DRG | $2,245,410,425 | |
| Total Medicare payments with ICD Z79899 - Other long term (current) drug therapy | $363,111 | |
| Total Medicare payment per Day at DRG | $1,499 | |
| Total Medicare payment per Day with ICD Z79899 - Other long term (current) drug therapy | $1,413 | |
| Total Medicare payment per Hospitalization at DRG | $18,657 | |
| Total Medicare payment per Hospitalization with ICD Z79899 - Other long term (current) drug therapy | $7,565 | |
| Total Medicare Charges at DRG | $5,810,478,166 | |
| Total Medicare Charges with ICD Z79899 - Other long term (current) drug therapy | $1,826,522 | |
| Avg Charges at DRG | $48,279 | |
| Avg Charges with ICD Z79899 - Other long term (current) drug therapy | $38,053 | |
| Mortality Rate at DRG | 0.55 | |
| Mortality Rate with ICD Z79899 - Other long term (current) drug therapy | NA | |
| SNF Discharge Rate at DRG | 14.77 | |
| SNF Discharge Rate with ICD Z79899 - Other long term (current) drug therapy | NA | |
| Home Discharge Rate at DRG | 22.27 | |
| Home Discharge Rate with ICD Z79899 - Other long term (current) drug therapy | 56.25 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST HOSPITAL UNION COUNTY | 4604 US HIGHWAY 60 W | MORGANFIELD | KY | 42437 | 13 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z79899 - Other long term (current) drug therapy | 203,340 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z79899 - Other long term (current) drug therapy in DRG | 5.03 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z79899 - Other long term (current) drug therapy | 5.36 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z79899 - Other long term (current) drug therapy | 21.84 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z79899 - Other long term (current) drug therapy | 15.66 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z79899 - Other long term (current) drug therapy | $2,202,637,479 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z79899 - Other long term (current) drug therapy | $2,020 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z79899 - Other long term (current) drug therapy | $10,832 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z79899 - Other long term (current) drug therapy | $9,580,299,661 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z79899 - Other long term (current) drug therapy | $47,115 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z79899 - Other long term (current) drug therapy | 8.64 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z79899 - Other long term (current) drug therapy | 25.33 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z79899 - Other long term (current) drug therapy | 32.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z79899 - Other long term (current) drug therapy | 72,287 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z79899 - Other long term (current) drug therapy in DRG | 1.79 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z79899 - Other long term (current) drug therapy | 3.03 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z79899 - Other long term (current) drug therapy | 16.93 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z79899 - Other long term (current) drug therapy | 12.4 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z79899 - Other long term (current) drug therapy | $303,150,483 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z79899 - Other long term (current) drug therapy | $1,384 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z79899 - Other long term (current) drug therapy | $4,194 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z79899 - Other long term (current) drug therapy | $1,769,926,886 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z79899 - Other long term (current) drug therapy | $24,485 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z79899 - Other long term (current) drug therapy | 0.13 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z79899 - Other long term (current) drug therapy | 7.92 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z79899 - Other long term (current) drug therapy | 74.57 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z79899 - Other long term (current) drug therapy | 61,152 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z79899 - Other long term (current) drug therapy in DRG | 1.51 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z79899 - Other long term (current) drug therapy | 4.81 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z79899 - Other long term (current) drug therapy | 20.33 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z79899 - Other long term (current) drug therapy | 15.37 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z79899 - Other long term (current) drug therapy | $499,352,124 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z79899 - Other long term (current) drug therapy | $1,699 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z79899 - Other long term (current) drug therapy | $8,166 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z79899 - Other long term (current) drug therapy | $2,174,027,958 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z79899 - Other long term (current) drug therapy | $35,551 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z79899 - Other long term (current) drug therapy | 2.62 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z79899 - Other long term (current) drug therapy | 20.82 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z79899 - Other long term (current) drug therapy | 45.31 |
*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 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD Z79899 - Other long term (current) drug therapy | 48,077 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD Z79899 - Other long term (current) drug therapy in DRG | 1.19 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD Z79899 - Other long term (current) drug therapy | 3.57 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD Z79899 - Other long term (current) drug therapy | 34.88 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD Z79899 - Other long term (current) drug therapy | 7.8 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD Z79899 - Other long term (current) drug therapy | $289,149,143 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD Z79899 - Other long term (current) drug therapy | $1,683 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD Z79899 - Other long term (current) drug therapy | $6,014 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD Z79899 - Other long term (current) drug therapy | $1,620,977,685 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD Z79899 - Other long term (current) drug therapy | $33,716 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD Z79899 - Other long term (current) drug therapy | 1.28 | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD Z79899 - Other long term (current) drug therapy | 23.75 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD Z79899 - Other long term (current) drug therapy | 27.72 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 29,743 |
| BAYLOR UNIVERSITY MEDICAL CENTER | 3500 GASTON AVE | DALLAS | TX | 75246 | 21,711 |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | 3333 SILAS CREEK PKWY | WINSTON SALEM | NC | 27103 | 19,769 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES E. JENNINGS | 35 INTERNATIONAL DR | GREENVILLE | SC | 29615 | 1,065 |
| Dr. PETER N RAMSEY | 2376 CYPRESS CIR | CONWAY | SC | 29526 | 926 |
| Dr. PATRICK GERARD KIRK | 4460 RED BANK EXPRESSWAY | CINCINNATI | OH | 45227 | 923 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 2,417 |
| Dr. KENNETH WAYNE DONOVAN | 365 MONTAUK AVE | NEW LONDON | CT | 06320 | 1,879 |
| Dr. SAYYID S RAZA | 5000 MAPLE ST. | FAIRGROVE | MI | 48733 | 1,686 |